Willows at Winchester Care & Rehabilitation Center

Health Inspections

Health Inspections
1
Health Deficiencies
This Nursing Home: 9
TN State Average: 6
U.S. Average: 6
TN Deficiencies Range: 1–22
Complaints & Incidents: 17
Updated June 19, 2014.

This rating indicates how well this home has complied with standards for food preparation and other health-related activities in state inspections conducted approximately every 15 months. Results from inspections after the latest date shown below may be available at Nursing Home Compare.

November 07, 2013 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
High
Some
1/27/2014
Have a program that investigates, controls and keeps infection from spreading.
Low
Many
1/27/2014
Store, cook, and serve food in a safe and clean way.
Low
Many
1/27/2014
Send unopened mail from residents and promptly deliver unopened mail to residents.
Low
Few
1/27/2014
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Low
Few
1/27/2014
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Few
1/27/2014
Ensure services provided by the nursing facility meet professional standards of quality.
Low
Few
1/27/2014
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.
Low
Few
1/27/2014
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Low
Few
1/27/2014

April 26, 2012 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
High
Few
5/8/2012
Ensure each resident receives an accurate assessment by a qualified health professional.
High
Few
5/8/2012
Store, cook, and serve food in a safe and clean way.
Low
Many
5/8/2012
Allow residents the right to participate in the planning or revision of care and treatment.
Low
Some
5/8/2012
Have a program that investigates, controls and keeps infection from spreading.
Low
Few
5/8/2012
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.
Low
Few
5/8/2012
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Few
5/8/2012

December 16, 2010 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Some
1/10/2011
Have a program that investigates, controls and keeps infection from spreading.
Low
Some
1/10/2011
Store, cook, and serve food in a safe and clean way.
Low
Some
1/10/2011
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
1/10/2011
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Low
Few
1/10/2011
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay.
Low
Few
1/10/2011
Ensure services provided by the nursing facility meet professional standards of quality.
Low
Few
1/10/2011

November 07, 2013 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide special eating equipment and utensils for each resident who needs them.
Low
Few
1/27/2014
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Some
Few
1/27/2014
Provide necessary care and services to maintain or improve the highest well being of each resident .
Some
Few
1/27/2014
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Low
Few
1/27/2014
Protect each resident from mistreatment, neglect and misappropriation of personal property.
Low
Many
1/27/2014
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
Low
Many
1/27/2014
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
High
Some
1/27/2014
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Low
Many
1/27/2014
Keep each resident free from physical restraints, unless needed for medical treatment.
Low
Few
1/27/2014
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
High
Few
1/27/2014
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
High
Some
1/27/2014
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
High
Some
1/27/2014
Ensure each resident receives an accurate assessment by a qualified health professional.
High
Few
1/27/2014
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.
Low
Few
1/27/2014
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
High
Some
1/27/2014
Allow residents the right to participate in the planning or revision of care and treatment.
High
Some
1/27/2014
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.
Low
Few
1/27/2014

April 26, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
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.
Low
Few
5/8/2012

Note: Because of differences in calculation, all data may not match those shown on Nursing Home Compare, a website run by the federal Centers for Medicare & Medicaid Services. CMS has approved the U.S. News methodology.

Last updated June 19, 2014.


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