WILLOWS HEALTH AND REHAB CTR
State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2024-05-23 — ACTUAL HARM (tag F0692, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.
2022-05-09 — ACTUAL HARM (tag F0697, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
Staffing, from payroll records
Nursing hours / resident / day
2.97
state median 3.20
Weekend staffing gap
−3%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.16
registered nurses only
Contract (agency) staff
4%
share of all nursing hours
Days with zero RN hours reported
12
with residents present
Nursing staff turnover
47%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $39,683 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-05-23 | Fine | $39,683 |
Ownership
Ownership type: For profit - Corporation. Part of the SABER HEALTHCARE GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- NEW CASTLE HEALTH AND REHABILITATION CENTER (NEW CASTLE, DE) —
- GREY STONE HEALTH AND REHABILITATION CENTER (FORT WAYNE, IN) —
- Sage Bluff Health and Rehab Center (FORT WAYNE, IN) —
- Autumn Care Of Biscoe (Biscoe, NC) —
- Davidson Health & Rehab Center (Lexington, NC) —
- Matthews Health & Rehab Center (Matthews, NC) —
- Autumn Care of Waynesville (Waynesville, NC) —
- Davie Nursing and Rehabilitation Center (Mocksville, NC) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2024-05-23 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-05-23 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-23 | F0692 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-05-23 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-05-09 | F0567 | Resident Rights Deficiencies | D | not recorded |
| 2022-05-09 | F0568 | Resident Rights Deficiencies | E | not recorded |
| 2022-05-09 | F0640 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-05-09 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2022-05-09 | F0660 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-05-09 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-05-09 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-05-09 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-05-09 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-05-09 | F0697 | Quality of Life and Care Deficiencies | G | not recorded |
| 2022-05-09 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2022-05-09 | F0791 | Quality of Life and Care Deficiencies | D | not recorded |
| 2022-05-09 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2022-05-09 | F0868 | Administration Deficiencies | F | not recorded |
| 2022-05-09 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2019-04-04 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2019-04-04 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-04-04 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2019-04-04 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2019-04-04 | F0814 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2019-04-04 | F0921 | Environmental Deficiencies | E | not recorded |