Willows Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF814Dec 22, 2025

  Based on observation and staff interview, the facility failed to dispose of garbage and refuse properly. One (1) of two (2) dumpsters was found to be overflowing with garbage bags, making it impossible for the dumpster lid to properly close. The other dumpster had sliding doors that were not completely closed. This was a random opportunity for discovery that has the potential to affect every resident at the facility. Facility census: 92. Findings included:a) Disposal of Garbage / Refuse was not properly contained in dumpsters with lids or otherwise covered. On 12/16/25 at 8:38 AM, two surveyors asked the Director of Dining to take them to the trash dumpsters located outside. She acknowledged the dumpster lids should be closed at all times when not in use, and they were not.

• No harm, potential for more than minimal, patternF600Aug 13, 2026

  Based upon record review, resident interviews and staff interviews, the facility failed to protect residents from sexual abuse and neglect. This was found to be true for three (4) of four (4) residents reviewed during the long term care survey process, based on complaints. Resident identifiers: #24, #87, #23 and #33. Facility census: 88. Findings included: Findings include: a) Resident #33 The facility's policy, entitled OPS300 Abuse Prohibition, was reviewed. Section 6.3 of the policy states: If the suspected abuse is patient to patient, the patient who has in any way threatened or attacked another will be removed from the setting or situation and an investigation will be completed. […]

• No harm, potential for more than minimal, patternF689Aug 13, 2026

  Based on observation, interview, and record review, the facility failed to ensure the resident environment was kept free of accident hazards and failed to provide adequate supervision to prevent potential serious injury or death for three (3) of three (3) residents observed outdoors during active severe weather (Residents #23, #85, and #29). Specifically, facility leadership knowingly allowed residents to remain outside in an open outdoor structure during an active thunderstorm with heavy downpours and lightning. Resident identifiers: #23, #85, and #29. Facility Census 88.The findings include:a) On 08/10/26 at approximately 1:00 PM, an observation was conducted during an active thunderstorm characterized by heavy downpours and visible lightning strikes in the immediate vicinity. […]

• No harm, potential for more than minimal, patternF584Mar 10, 2026

  Based on observation and staff interview, the facility failed to provide a safe, clean, comfortable, and homelike environment for three (3) of five (5) resident rooms reviewed during the complaint survey process. The facility failed to keep the Packaged Terminal Air Conditioners (PTACs) in resident rooms [ROOM NUMBER] in good condition. Facility Census: 92.On 03/10/26 at approximately 9:15 .a.m., the State Agency (SA) observed debris in the upper vent of the PTAC unit in resident room [ROOM NUMBER].On 03/10/26 at approximately 9:18 a.m., the SA observed debris and a black like substance in the upper vent of the PTAC unit in resident room [ROOM NUMBER].On 03/10/26 at approximately 12:30 p.m., the SA observed debris in the upper vent of the PTAC unit in resident room [ROOM NUMBER].During an… […]

• No harm, potential for more than minimal, patternF609Dec 22, 2025

  Based upon record review and staff interviews the facility failed to report the results of investigations within approved time frames to the state survey agency(SSA). This was discovered during the Long term care survey process, during the review of Facility reported incidents (FRIs). This was found to be true for one (1) out of thirty (30) residents reviewed. Resident #74 and #108. Census: 92 Finding include: a) Resident #74 During record review of Facility reported incidents (FRIs) on 12/17/25, file with this FRI #242295 was missing the five day follow up. The initial report was received 01/06/25. This would make the five day needing to be submitted by 01/11/25 at 11:59 PM at the latest. […]