Deficiency timeline

WILLOW CREEK POST ACUTE

Dated inspection findings, penalties, and correction notes for this nursing home in Madras, OR. Newest events first.

17 eventsClass insights →
  1. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Nov 1, 2024

  2. Class IIIPotential for more than minimal harm (E)cms

    F0761: Pharmacy Service

    Pharmacy services

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected Nov 1, 2024

  3. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Aug 2, 2024

  4. Class IIActual harm (G)cms

    F0697: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected Jul 19, 2023

  5. Class IIIPotential for more than minimal harm (E)cms

    F0727: Nursing and Physician Services

    Nursing & physician services

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected Aug 10, 2023

  6. Class IIIPotential for more than minimal harm (E)cms

    F0919: Environmental

    Environment

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected Sep 27, 2022

  7. Class IIIPotential for more than minimal harm (E)cms

    F0924: Environmental

    Environment

    Put firmly secured handrails on each side of hallways.

    Corrected Aug 10, 2023

  8. Class IIIPotential for more than minimal harm (D)cms

    F0584: Resident Rights

    Resident rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected Aug 10, 2023

  9. Class IIIPotential for more than minimal harm (D)cms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Aug 10, 2023

  10. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Aug 10, 2023

  11. Class IIIPotential for more than minimal harm (D)cms

    F0691: Quality of Life and Care

    Quality of life & care

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Corrected Aug 10, 2023

  12. Class IIIPotential for more than minimal harm (D)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Aug 10, 2023

  13. Class IIIPotential for more than minimal harm (D)cms

    F0732: Nursing and Physician Services

    Nursing & physician services

    Post nurse staffing information every day.

    Corrected Aug 10, 2023

  14. Class IIIPotential for more than minimal harm (D)cms

    F0756: Pharmacy Service

    Pharmacy services

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected Aug 10, 2023

  15. Class IIIPotential for more than minimal harm (D)cms

    F0758: Pharmacy Service

    Pharmacy services

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected Aug 10, 2023

  16. Class IIIPotential for more than minimal harm (D)cms

    F0803: Nutrition and Dietary

    Nutrition & dietary

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected Aug 10, 2023

  17. Class IIIPotential for more than minimal harm (D)cms

    F0808: Nutrition and Dietary

    Nutrition & dietary

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Corrected Aug 10, 2023

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile