Willowbrooke Court at Azalea Trace

In the surveyor’s words

From the most serious findings on record at Willowbrooke Court at Azalea Trace, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Apr 8, 2022

  Based on observation, interview and record review, the facility failed to prevent 2 of 2 vulnerable residents at risk for elopement (Residents #1 and #2) from exiting the building unsupervised via the front entrance. Resident #1 was able to exit the building through a fire egress door on 2/23/22. Resident #2 exited through the same fire egress door on 3/27/22. This has the potential to effect 14 residents in the facility at risk for elopement. The facility's failure to prevent an elopement and eliminate potential hazards placed 2 residents at a likelihood of serious injury and death. […]

• Immediate jeopardy, isolatedF867Apr 8, 2022

  Based on observation, interviews and record review, the facility's Quality Assurance and Performance Improvement (QAPI) process failed to develop and implement appropriate plans of action to correct identified quality deficiencies related to a resident elopement that occurred on 2/23/22 (resident #1) which resulted in a second resident elopement via the same door on 3/27/22 (Resident #2). The facility's failure to follow the QAPI process may prevent the facility from correcting and improving their systems to ensure resident safety and prevent serious harm for all 14 residents identified as risk for elopement: Resident #4, Resident #5, Resident #6, Resident #7, Resident #8, Resident #9, Resident #10, Resident #11, Resident #12, Resident #13, Resident #14, Resident #15. […]