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Willow Springs Rehabilitation And Healthcare Ctr

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About Willow Springs Rehabilitation And Healthcare Ctr

General Information

Legal Business NameWillow Springs Operator LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 18, 1985 (32 years)
Capacity148
Residents116
Percent Occupied78%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Willow Springs Rehabilitation And Healthcare Ctr

Willow Springs Rehabilitation And Healthcare Ctr
was reviewed by Medicare to have a rating of 4 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of New Jersey Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

October 28, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
BSomePotential for Minimal HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.

August 11, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$7,475 fine
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
GFewActual HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionAssure that each residentís assessment is updated at least once every 3 months.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
DFewPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmHealth InspectionCompletely assess the resident at least every twelve months.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Willow Springs Rehabilitation And Healthcare Ctr require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 5min
2hr 25min
ReportedExpected
CNA
60min
40min
ReportedExpected
LPN
40min
1hr
ReportedExpected
RN
3hr 40min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 1hr 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

95.5%
92.6%
92.6%
96.4%
Q1 2015Q2 2015Q3 2015NJ
Assessed and Appropriately Given the Seasonal Influenza Vaccine
76.1%
77.2%
82.8%
95.1%
Q1 2015Q2 2015Q3 2015NJ
Assessed and Appropriately Given the Pneumococcal Vaccine
56.7%
55.0%
43.3%
36.7%
Q1 2015Q2 2015Q3 2015NJ
Low Risk Residents Who Lose Control of Their Bowel or Bladder
10.3%
7.8%
4.8%
13.5%
Q1 2015Q2 2015Q3 2015NJ
Received an Antipsychotic Medication
22.1%
12.7%
26.8%
12.9%
Q1 2015Q2 2015Q3 2015NJ
Need for Help with ADLs has Increased
4.5%
14.2%
11.9%
3.7%
Q1 2015Q2 2015Q3 2015NJ
Self Report Moderate to Severe Pain
6.9%
3.3%
8.3%
7.3%
Q1 2015Q2 2015Q3 2015NJ
Lose Too Much Weight
6.2%
6.8%
5.0%
6.7%
Q1 2015Q2 2015Q3 2015NJ
High Risk Residents With Pressure Ulcers
10.4%
6.2%
0.0%
3.2%
Q1 2015Q2 2015Q3 2015NJ
Have Depressive Symptoms
4.6%
0.0%
1.2%
3.7%
Q1 2015Q2 2015Q3 2015NJ
With a Urinary Tract Infection
1.1%
1.1%
2.3%
2.5%
Q1 2015Q2 2015Q3 2015NJ
Experiencing One or More Falls with Major Injury
3.7%
4.1%
2.9%
2.7%
Q1 2015Q2 2015Q3 2015NJ
With a Catheter Inserted and Left in Their Bladder
1.1%
0.0%
0.0%
1.3%
Q1 2015Q2 2015Q3 2015NJ
Were Physically Restrained

Quality Measures for Short Stay Residents

47.6%
52.5%
49.3%
86.9%
Q1 2015Q2 2015Q3 2015NJ
Assessed and Appropriately Given the Pneumococcal Vaccine
53.6%
52.4%
52.4%
86.2%
Q1 2015Q2 2015Q3 2015NJ
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
13.8%
7.0%
13.3%
10.9%
Q1 2015Q2 2015Q3 2015NJ
Self Report Moderate to Severe Pain
1.1%
2.0%
2.9%
1.6%
Q1 2015Q2 2015Q3 2015NJ
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015NJ
With Pressure Ulcers That Are New or Worsened