Willows at Bellevue

In the surveyor’s words

From the most serious findings on record at Willows at Bellevue, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 10, 2025

  Based on observation, staff interview, and review of the facility policies, the facility failed to ensure food items stored in unit refrigerators were labeled and dated and further failed to ensure unit refrigerators did not contain expired food items. This had the potential to affect all 57 residents who received food from the kitchen. The facility census was 57. Findings include: Observation beginning on [DATE] at approximately 5:38 P.M. of the unit refrigerator located centrally between all resident units hallways with Registered Nurse (RN) #396 revealed the following concerns: In the refrigerator, there was one plastic container containing prunes which was dated [DATE], one plastic container containing potato soup which was dated [DATE], one plastic container containing grapefruit… […]

• No harm, potential for more than minimal, isolatedF558Apr 10, 2025

  Based on medical record review, observation, staff interview, and review of facility policy, the facility failed to ensure call lights were within reach. This affected two (#11 and #33) of two residents reviewed for call lights. The facility census was 57. Findings include: 1. Review of the medical record for Resident #11 revealed diagnoses including encephalopathy, myocardial infarction, stage four chronic kidney disease, venous insufficiency, anxiety, bipolar disorder, depression, schizoaffective disorder, left knee effusion, history of falling, chronic pain, weakness, lymphedema, cardiac pacemaker, atrial fibrillation, communication deficit, and mild cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF695Apr 10, 2025

  Based on medical record review, observation, resident interview, staff interview, and review of the facility policy, the facility failed to ensure Resident #205 received oxygen at the correct rate as prescribed by the physician. This affected one (Resident #205) of one resident reviewed for respiratory care. The facility census was 57. Findings include: Review of the medical record revealed Resident #205 was admitted to the facility on [DATE]. Diagnoses included acute respiratory failure with hypoxia, acute kidney failure, heart failure, chronic kidney disease, chronic venous insufficiency (peripheral), type II diabetes mellitus, obstructive sleep apnea, dyspnea, hypoxemia, and weakness. […]

• No harm, potential for more than minimal, isolatedF558Jun 1, 2023

  Based on medical record review and resident and staff interview, the facility failed to ensure a resident's bathing preference was reasonably met. This affected one (Resident #20) of three residents reviewed for reasonable accommodations of shower preferences. The facility census was 54. Findings include: Review of Resident #20's medical record revealed an admission to the facility occurred on 12/20/22. Diagnoses included stroke, chronic obstructive pulmonary disease (COPD), and diabetes mellitus. Review of the comprehensive Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #20 was cognitively intact and was dependent on staff for bathing. […]

• No harm, potential for more than minimal, isolatedF554Feb 2, 2023

  Based on observations, medical record review, staff interview and review of facility policy, the facility failed to complete an assessment for self-medication administration for one (#28) of one resident reviewed for self-administration of medication. The facility census was 53. Findings include: Review of the medical record revealed Resident #28 admitted to facility on 06/15/22. Diagnoses included dry eye syndrome of unspecified lacrimal gland. Review of Minimum Data Set assessment (MDS) dated [DATE] revealed Resident #28 had moderately impaired cognition. Review of the current physician orders revealed Resident #28's medications included Gen Teal Tears moderate artificial tear over the counter eye drop to be used twice daily in the morning and evening. […]