Willowbrooke Court Skilled Care Center Fairhaven

In the surveyor’s words

From the most serious findings on record at Willowbrooke Court Skilled Care Center Fairhaven, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 2, 2022

  Based on a facility reported incident, reviews of a medical record, and staff interview, it was determined that the facility staff failed to: 1) follow Resident #15's plan of care and prevent injury to a resident during incontinence care. This resulted in harm to Resident #15; 2) provide adequate supervision of Resident #17 to prevent unsafe wandering/elopement. Although this noncompliance resulted in no actual harm Resident #17, it has a potential for more than minimal harm if the practice is not corrected. […]

• No harm, potential for more than minimal, widespreadF804Jul 18, 2025

  Number of residents sampled: Number of residents cited: Based on observation and interview, it was determined the facility failed to provide food at an appetizing temperature. This was evident for 1 out of 1 observation of a meal and test tray. The findings include:On 07/17/2025 at 12:02 PM, the surveyor observed the start of the lunch meal on the first floor pine view unit dining area. The plates were prepared in the kitchenette within the dining area, from prepared food that was kept on steam tables.On 07/17/2025 at 12:47 PM, the surveyor observed the dining staff prepare the test tray plate.On 07/17/2025 at 12:49 PM, the test tray left the kitchenette on a cart with other trays, which belonged to residents who were eating lunch in their rooms. […]

• No harm, potential for more than minimal, widespreadF812Jul 18, 2025

  Number of residents sampled: Number of residents cited: Based on observations and staff interviews, it was determined that the kitchen failed to ensure food items were stored to maintain the integrity of the specific items. This was evident for the initial observation of the kitchen upon facility entry. This failure has the potential to affect all residents.The findings include:On 07/15/2025 at 7:41 AM, an observation of the kitchen revealed the first of three walk-in refrigerators, which had opened and unlabeled bologna and opened and unlabeled salami.On 07/15/2025 at 7:43 AM, an observation of the second of three walk-in refrigerators revealed opened and unlabeled feta cheese, opened and unlabeled parmesan cheese, and opened and unlabeled yellow american cheese.On 07/15/2025 7:48 AM, an… […]

• No harm, potential for more than minimal, widespreadF880Jun 2, 2022

  Based on surveyor observation, interviews, and reviews of the facility medication administration policy, it was determined that the facility staff failed to follow (1) the infection prevention and control program by failing to dispense medications without touching with bare hands. This was evident for 2 (Resident #31, #39) of 4 residents observed during the Long -Term Care Survey Process (LTCSP) medication pass task during an annual recertification survey. Additionally, (2) it was determined that the facility failed to have an effective system in place to help prevent the development and transmission of disease by failing to follow infection control guidelines during the laundry process. This was evident for random observations made during the tour of the facility. […]

• No harm, potential for more than minimal, widespreadF880Jun 23, 2021

  Based on medical record review, interview, and observation it was determined that the facility failed to: 1) Ensure daily resident screenings for signs and symptoms of COVID-19 were consistently and accurately completed as required by State and Federal mandate for 2 of 3 residents reviewed during the survey (Resident #2 and #3); and 2) Ensure visitors from outside the community and those residing in independent living areas of the campus were screened for COVID-19 signs and symptoms prior to entering the health care unit(s). […]