Willows at Willard the

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF689Nov 21, 2024

  Based on observation, medical record review, staff interview and review of facility policy, the facility failed to ensure hazardous chemicals were securely stored. This had the potential to affect seventeen residents (#4, #6, #10, #11, #24, #25, #34, #37, #39, #40, #46, #47, #48, #50, #52, #55, and #169) who were identified by the facility as independently mobile and cognitively impaired. The facility census was 63. Findings include: Observation on 11/20/24 at 9:12 A.M. of a storage closet located behind a nursing desk near the beginning of the 100-hall revealed the door to the storage closet was unlocked. […]

• No harm, potential for more than minimal, patternF695Nov 21, 2024

  Based on observation, medical record review, staff interview and review of facility policy, the facility failed to ensure oxygen administration was completed per physician orders. This affected one (#5) of one resident reviewed for respiratory care. The facility census was 63. Findings include: Review of the medical record for Resident #5 revealed an admitted [DATE]. Diagnoses included heart failure and shortness of breath. Review of the Minimum Data Set (MDS) assessment, dated 09/18/24, revealed Resident #5 had intact cognition. Review of the physician orders dated 03/08/24 revealed Resident #5 was ordered oxygen at two liters per minute per nasal cannula as needed for oxygen saturation levels less than 92 percent. Observation on 11/18/24 at 9:40 A.M. […]

• No harm, potential for more than minimal, patternF712Nov 21, 2024

  Based on medical record review, review of nurse practitioner (NP) progress notes, staff interview and review of facility policy review, the facility failed to ensure required physician visits were completed. This affected six (#5, #11, #19, #28, #31 and #40) of six residents reviewed for physician visits. The facility census was 63. Findings include: 1. Review of the medical record for Resident #11 revealed an admitted [DATE] with diagnoses including cellulitis and dementia. Review of the quarterly Minimum Data Set (MDS) assessment, dated 11/01/24, revealed Resident #11 was cognitively impaired. Further review of the medical record revealed Resident #11 was seen by the NP at least monthly from 01/15/24 through 11/08/24. […]

• No harm, potential for more than minimal, patternF761Aug 9, 2023

  Based on observation, staff interview, and review of a facility policy, the facility failed to ensure medications were stored in a safe and secure manner. This affected two (100 and 300) of three hallway medication carts observed. This had the potential to affect 48 (#1, #4, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #18, #19, #20, #21, #22, #23, #24, #25, #26, #27, #29, #30, #31, #32, #37, #39, #40, #41, #42, #43, #44, #45, #47, #48, #49, #51, #52, #53, #54, #55, #56, #57, #61, #62, and #63) residents who resided on the 100 and 300 hallways. The facility census was 63. Findings include: 1. Observation on 08/09/23 at 8:03 A.M. revealed a medication cart on the 300 hallway was sitting in the hallway with a cup of liquid medication on top of the cart. […]

• No harm, potential for more than minimal, isolatedF676Apr 9, 2026

  Based on observation, medical record review, and staff interview, the facility failed to ensure residents had a functional communication system in place. This affected one (#1) of one resident reviewed for communication. The facility census was 62.Findings include:Review of the medical record for Resident #1 revealed an admission date of 03/09/24. Diagnoses included Alzheimer's disease, depression, and vascular dementia. Review of the quarterly Minimum Data Set (MDS) assessment, dated 03/19/26, revealed Resident #1 had severe cognitive impairment. Further review of the MDS revealed Resident #1 had unclear speech, was sometimes understood, and sometimes could understand others. […]