WILLOWS AT WILLARD THE Nursing Home


WILLOWS AT WILLARD THE (CCN: 365769) is a For profit - Corporation facility located in WILLARD, OH (44890). The facility has an overall rating of 5/5, health inspection rating of 5/5, and a staffing rating of 3/5. It offers 69 certified beds and maintains an average of 59.8 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.36842 total hours per resident per day. It has been certified since November 8, 1989 and the last listed health inspection was on April 7, 2022, The facility is located in Huron county and provides senior and nursing home care.

WILLOWS AT WILLARD THE Summary


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Provider Name: WILLOWS AT WILLARD THE

Address: 1050 NEAL ZICK ROAD, WILLARD, OH 44890

Phone: (419) 935-6511

County: Huron (400)

Ownership Type: For profit - Corporation

Certified Beds: 69

Average Residents Per Day: 59.8 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: TRILOGY HEALTHCARE OF HURON, LLC

First Approved Date: November 8, 1989

Affiliated Entity: TRILOGY HEALTH SERVICES (524)

Retirement Community: Y, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Both

Sprinkler System Status: Yes

Overall Rating: 5 ()

Health Inspection Rating: 5 ()

QM Rating: 5 ()

Long Stay QM Rating: 5 ()

Short Stay QM Rating: 5 ()

Staffing Rating: 3 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 1.59215, LPN Staff Hours Per Day: 1.1285, RN Staff Hours Per Day: 0.6477, Licensed Staff Hours Per Day: 1.7762

Total Nurse Staff Hours Per Day, per resident: 3.36842

Weekend Nurse Staff Hours: 3.03857, Weekend RN Staff Hours: 0.3295

PT Staff Hours Per Day, per resident: 0.0546

Nurse Staff Turnover: 28.0, Nurse Turnover Note:

RN Turnover: 22.2, RN Turnover Note:

Admin Left Number: , Admin Turnover Note: 6

Case Mix Nurse Aide Hours Per Day, per resident: 2.1974, Case Mix LPN Hours Per Day: 0.7726, Case Mix RN Hours Per Day: 0.3598

Adjusted Nurse Aide Hours Per Day, per resident: 1.47609, Adjusted LPN Hours Per Day: 1.0778, Adjusted RN Hours Per Day: 0.6783

Total Adjusted Nurse Hours Per Day, per resident: 3.18846

Adjusted Weekend Nurse Hours Per Day, per resident: 2.87624

Health Survey Dates and Scores: Cycle 1: 2022-04-07 (Score: 12), Cycle 2: 2019-06-13 (Score: 16), Cycle 3: 2018-05-23 (Score: 12)

Total Weighted Health Score: 13.333

Reported Incidents: 0, Substantiated Complaints: 3

Infection Control Citations: 0

Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0

Location and GPS: 1050 NEAL ZICK ROAD,WILLARD,OH,44890 (41.0416, -82.707)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-08-09

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-08-30

Citation on 2023-08-09

Type: Health, Deficiency: 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.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-08-30

Citation on 2019-06-13

Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-07-19

Citation on 2019-06-13

Type: Health, Deficiency: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-07-19

Citation on 2019-06-13

Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-07-19

Citation on 2019-06-13

Type: Health, Deficiency: 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.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-07-19

Citation on 2021-10-14

Type: Health, Deficiency: Ensure each resident’s drug regimen must be free from unnecessary drugs.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-10-29

Citation on 2018-05-23

Type: Health, Deficiency: Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-06-22

Citation on 2018-05-23

Type: Health, Deficiency: Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-06-22


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2022-04-05

Type: Fire Safety, Tag: 0161, Version: New

Description: Use approved construction type or materials.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-04-19

Citation on 2022-04-05

Type: Fire Safety, Tag: 0271, Version: New

Description: Have exits that are accessible at all times.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-04-19

Citation on 2022-04-05

Type: Fire Safety, Tag: 0351, Version: New

Description: Install an approved automatic sprinkler system.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-04-19

Citation on 2022-04-05

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler systems.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-04-19

Citation on 2019-06-11

Type: Fire Safety, Tag: 0920, Version: New

Description: Ensure proper usage of power strips and extension cords.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-07-19

Citation on 2018-05-22

Type: Fire Safety, Tag: 0226, Version: New

Description: Have horizontal exits used in accordance with safety requirements.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-06-22

Citation on 2018-05-22

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler systems.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-06-22

Citation on 2018-05-22

Type: Fire Safety, Tag: 0521, Version: New

Description: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-06-22