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Willow Crest Nursing Pavilion

Inspection Results


Nursing Homes Illinois Sandwich Willow Crest Nursing Pavilion

Willow Crest Nursing Pavilion has been cited for a total of 108 deficiencies in our most recent deficiency data, which typically covers 3 health and fire safety surveys.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Willow Crest Nursing Pavilion.

There are 734 nursing homes in Illinois with a total of 45,776 deficiencies resulting in an average of 62.37 deficiencies per nursing home.



The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies


Deficiency Cited, Scope, and Date of Correction
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Scope:
G
Corrected:
04-20-2018

Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Scope:
D
Corrected:
04-20-2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Scope:
D
Corrected:
04-20-2018

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Scope:
D
Corrected:
10-24-2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Scope:
D
Corrected:
10-24-2017

Have enough nurses to care for every resident in a way that maximizes the resident's well being.
Scope:
F
Corrected:
10-24-2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Scope:
D
Corrected:
09-05-2017

Have enough nurses to care for every resident in a way that maximizes the resident's well being.
Scope:
F
Corrected:
07-06-2017

Store, cook, and serve food in a safe and clean way.
Scope:
F
Corrected:
07-06-2017

Protect each resident from all abuse, physical punishment, and involuntary separation from others.
Scope:
D
Corrected:
06-20-2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
Scope:
D
Corrected:
06-20-2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Scope:
D
Corrected:
06-20-2017

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Scope:
E
Corrected:
04-20-2018

Keep residents' personal and medical records private and confidential.
Scope:
E
Corrected:
04-20-2018

Ensure each resident receives an accurate assessment.
Scope:
D
Corrected:
04-20-2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope:
D
Corrected:
04-20-2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Scope:
D
Corrected:
04-20-2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope:
D
Corrected:
04-20-2018

Provide safe and appropriate respiratory care for a resident when needed.
Scope:
D
Corrected:
04-20-2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Scope:
F
Corrected:
04-20-2018

Post nurse staffing information every day.
Scope:
C
Corrected:
04-13-2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Scope:
E
Corrected:
04-13-2018

Ensure medication error rates are not 5 percent or greater.
Scope:
D
Corrected:
04-20-2018

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Scope:
E
Corrected:
04-20-2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope:
F
Corrected:
04-20-2018

Provide and implement an infection prevention and control program.
Scope:
F
Corrected:
04-20-2018

Develop and implement policies and procedures for flu and pneumonia vaccinations.
Scope:
E
Corrected:
04-20-2018

Try to resolve each resident's complaints quickly.
Scope:
C
Corrected:
03-10-2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Scope:
D
Corrected:
03-10-2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Scope:
D
Corrected:
03-10-2017

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
Scope:
E
Corrected:
03-10-2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Scope:
C
Corrected:
03-10-2017

Have a program that investigates, controls and keeps infection from spreading.
Scope:
D
Corrected:
03-10-2017

Provide care by qualified persons according to each resident's written plan of care.
Scope:
D
Corrected:
06-01-2016

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Scope:
D
Corrected:
06-01-2016

Provide necessary care and services to maintain or improve the highest well being of each resident .
Scope:
D
Corrected:
10-14-2015

Have enough nurses to care for every resident in a way that maximizes the resident's well being.
Scope:
E
Corrected:
10-14-2015

Allow residents to easily view the results of the nursing home's most recent inspection.
Scope:
C
Corrected:
04-22-2016

Provide necessary care and services to maintain or improve the highest well being of each resident .
Scope:
D
Corrected:
04-22-2016

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Scope:
D
Corrected:
04-22-2016

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Scope:
D
Corrected:
04-22-2016

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Scope:
K
Corrected:
04-22-2016

Ensure residents maintain acceptable nutritional status.
Scope:
D
Corrected:
04-22-2016

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
Scope:
E
Corrected:
04-22-2016

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
Scope:
F
Corrected:
04-22-2016

Provide food in a way that meets a resident's needs.
Scope:
D
Corrected:
04-22-2016

Store, cook, and serve food in a safe and clean way.
Scope:
F
Corrected:
04-22-2016

Have a program that investigates, controls and keeps infection from spreading.
Scope:
D
Corrected:
04-22-2016

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Scope:
E
Corrected:
03-22-2018

Have exits that are accessible at all times.
Scope:
E
Corrected:
03-21-2018

Provide properly protected cooking facilities.
Scope:
E
Corrected:
03-20-2018

Have simulated fire drills held at unexpected times.
Scope:
F
Corrected:
03-17-2018

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Scope:
F
Corrected:
03-17-2018

Install emergency lighting that can last at least 1 1/2 hours.
Scope:
F
Corrected:
03-20-2017

Have properly located and lighted "Exit" signs.
Scope:
F
Corrected:
03-20-2017

Have protected exits that allow the resident to escape the building.
Scope:
E
Corrected:
03-20-2017

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Scope:
E
Corrected:
03-20-2017

Inspect, test, and maintain automatic sprinkler systems.
Scope:
F
Corrected:
03-20-2017

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Scope:
F
Corrected:
03-20-2017

Install corridor and hallway doors that block smoke.
Scope:
E
Corrected:
03-20-2017

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Scope:
E
Corrected:
03-16-2017

Install smoke barrier doors that can resist smoke for at least 20 minutes.
Scope:
E
Corrected:
03-20-2017

Have properly installed electrical wiring and gas equipment.
Scope:
E
Corrected:
03-20-2017

Provide a written emergency evacuation plan.
Scope:
F
Corrected:
03-20-2017

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Scope:
E
Corrected:
03-20-2017

Have generator or other power source capable of supplying service within 10 seconds.
Scope:
F
Corrected:
03-20-2017

Ensure proper usage of power strips and extension cords.
Scope:
D
Corrected:
03-20-2017

Walls that prevent smoke from passing through and would resist fire for at least one hour.
Scope:
E
Corrected:
05-09-2016

Smoke barrier doors that can resist smoke for at least 20 minutes.
Scope:
E
Corrected:
05-09-2016

Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
Scope:
E
Corrected:
05-09-2016

Protected exits that allow the resident to escape the building.
Scope:
E
Corrected:
05-09-2016

A fire alarm system that can be heard throughout the facility.
Scope:
F
Corrected:
05-09-2016

An approved automatic sprinkler system connected to the fire alarm system.
Scope:
E
Corrected:
05-09-2016

Automatic sprinkler systems that have been maintained in working order.
Scope:
E
Corrected:
05-09-2016

Properly protected cooking facilities.
Scope:
E
Corrected:
05-09-2016

Proper medical gas storage and administration areas.
Scope:
D
Corrected:
05-09-2016

Weekly inspections and monthly testing of generators.
Scope:
F
Corrected:
05-09-2016

Properly installed electrical wiring and equipment.
Scope:
E
Corrected:
05-09-2016

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Scope:
E
Corrected:
03-22-2018

Have exits that are accessible at all times.
Scope:
E
Corrected:
03-21-2018

Provide properly protected cooking facilities.
Scope:
E
Corrected:
03-20-2018

Have simulated fire drills held at unexpected times.
Scope:
F
Corrected:
03-17-2018

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Scope:
F
Corrected:
03-17-2018

Install emergency lighting that can last at least 1 1/2 hours.
Scope:
F
Corrected:
03-20-2017

Have properly located and lighted "Exit" signs.
Scope:
F
Corrected:
03-20-2017

Have protected exits that allow the resident to escape the building.
Scope:
E
Corrected:
03-20-2017

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Scope:
E
Corrected:
03-20-2017

Inspect, test, and maintain automatic sprinkler systems.
Scope:
F
Corrected:
03-20-2017

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Scope:
F
Corrected:
03-20-2017

Install corridor and hallway doors that block smoke.
Scope:
E
Corrected:
03-20-2017

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Scope:
E
Corrected:
03-16-2017

Install smoke barrier doors that can resist smoke for at least 20 minutes.
Scope:
E
Corrected:
03-20-2017

Have properly installed electrical wiring and gas equipment.
Scope:
E
Corrected:
03-20-2017

Provide a written emergency evacuation plan.
Scope:
F
Corrected:
03-20-2017

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Scope:
E
Corrected:
03-20-2017

Have generator or other power source capable of supplying service within 10 seconds.
Scope:
F
Corrected:
03-20-2017

Ensure proper usage of power strips and extension cords.
Scope:
D
Corrected:
03-20-2017

Walls that prevent smoke from passing through and would resist fire for at least one hour.
Scope:
E
Corrected:
05-09-2016

Smoke barrier doors that can resist smoke for at least 20 minutes.
Scope:
E
Corrected:
05-09-2016

Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
Scope:
E
Corrected:
05-09-2016

Protected exits that allow the resident to escape the building.
Scope:
E
Corrected:
05-09-2016

A fire alarm system that can be heard throughout the facility.
Scope:
F
Corrected:
05-09-2016

An approved automatic sprinkler system connected to the fire alarm system.
Scope:
E
Corrected:
05-09-2016

Automatic sprinkler systems that have been maintained in working order.
Scope:
E
Corrected:
05-09-2016

Properly protected cooking facilities.
Scope:
E
Corrected:
05-09-2016

Proper medical gas storage and administration areas.
Scope:
D
Corrected:
05-09-2016

Weekly inspections and monthly testing of generators.
Scope:
F
Corrected:
05-09-2016

Properly installed electrical wiring and equipment.
Scope:
E
Corrected:
05-09-2016



Learn more about Willow Crest Nursing Pavilion at the following resources

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Staff Size Medicare Ratings Ratings Comparison
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Willow Crest Nursing Pavilion


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