Willow Ridge Wellness & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Willow Ridge Wellness & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF580Apr 27, 2024

  Based on observation, interview and record review the facility failed to immediately inform the resident, consult with the resident's physician and notify consistent with his or her authority, the resident representative when there was a change in the resident's physical, mental, or psychosocial status for 1 resident (Resident #1) of 9 residents reviewed for notification of change of condition. The facility failed to ensure the MD and/or the Wound Care Doctor were consulted for direction on wound care orders for Resident #1 upon readmission to the facility on [DATE] with two small open wounds on the right and left buttock. […]

• Immediate jeopardy, patternF686Apr 27, 2024

  Based on observation, interview, and record review, the facility failed to ensure that residents receive care, consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing for 1 (Resident #1) of 9 residents reviewed for pressure ulcers. The facility failed to ensure the MD and/or the Wound Care Doctor were consulted for direction on wound care orders for Resident #1 upon readmission to the facility on [DATE] with two small open wounds on the right and left buttock. The facility failed to ensure the MD and/or the Wound Care Doctor were consulted for direction on wound care orders on 04/11/2024 when a new wound developed on Resident #1's coccyx. […]

• Immediate jeopardy, patternF880Jan 19, 2022

  Based on observation, interview, and record review, the facility failed to implement and maintain an infection prevention and control program designed to provide a safe environment and to help prevent the development and transmission of COIVD-19 for 1 of 16 staff reviewed for infection control (CNA C). CNA C had a family member who resided with him showing signs and symptoms of COVID-19. CNA C did report to the faciality of his possible exposure to the virus and was not screened for COVID-19 for 5 days prior to starting his shift. CNA C failed wear proper PPE and perform hand hygiene while working on the warm and cold zones on the same shift. An Immediate Jeopardy (IJ) situation was identified on 01/18/22 at 3:15 pm. […]

• Immediate jeopardy, isolatedF689Aug 15, 2025

  Based on interview and record review, the facility failed to ensure that each resident received adequate supervision to provide an environment that was free of accident hazards for one (Resident #1) of five residents reviewed for accidents. -The facility failed to ensure the resident environment remained as free of accident hazards as possible and each resident received adequate supervision to prevent accidents when Resident #1 cut his wrist with a sharp object, had to be hospitalized with a 4cm laceration to his wrist and was admitted for a psychiatric evaluation. Resident #1 had diagnoses of mental illness and IDD, a history of having razors in his possession, and a history of aggressive behaviors. The non-compliance was identified as past non-compliance (PNC). […]

• Immediate jeopardy, isolatedF600May 29, 2025

  Based on observations, interviews and record reviews, the facility failed to ensure that residents were free from abuse for two (Resident #1 and #2) of six residents reviewed for abuse and neglect. The facility failed to protect Resident #1 and #2 from abuse on 05/22/25 when both residents got into a physical altercation and fell to the ground. As a result, Resident #1 sustained a superior endplate fracture suspected at T4 vertebral body (top part of the T4 spinal bone is cracked/broken) and right periorbital hematoma (black right eye). An IJ was identified on 05/28/25. The IJ template was provided to the facility on [DATE] at 1:30 PM. […]