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Willow Creek Health Care

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About Willow Creek Health Care

General Information

Legal Business NameWillow Creek Health Care, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 5, 2003 (14 years)
Capacity100
Residents86
Percent Occupied86%
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 Creek Health Care

Willow Creek Health Care
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Oklahoma 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 2, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionProvide residents with private access to a telephone.

July 23, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
HSomeActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
HSomeActual HarmHealth InspectionMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
HSomeActual HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
FManyPotential for HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
FManyPotential for HarmHealth Inspection1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
FManyPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
GFewActual HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmHealth InspectionEnsure 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.
ESomePotential for HarmHealth InspectionPut firmly secured handrails on each side of hallways.
ESomePotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
ESomePotential for HarmHealth InspectionProvide or obtain dental services for each resident.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ESomePotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionDevelop 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.
DFewPotential for HarmHealth Inspection1) 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.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.

July 17, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.

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 Creek Health Care 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 55min
2hr 10min
ReportedExpected
CNA
25min
35min
ReportedExpected
LPN
15min
50min
ReportedExpected
RN
3hr 35min
3hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
96.4%
96.4%
94.6%
Q1 2015Q2 2015Q3 2015OK
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.8%
100.0%
98.8%
88.5%
Q1 2015Q2 2015Q3 2015OK
Assessed and Appropriately Given the Pneumococcal Vaccine
43.5%
46.5%
51.1%
32.1%
Q1 2015Q2 2015Q3 2015OK
Low Risk Residents Who Lose Control of Their Bowel or Bladder
22.1%
22.1%
21.8%
20.2%
Q1 2015Q2 2015Q3 2015OK
Received an Antipsychotic Medication
10.9%
6.2%
10.0%
14.9%
Q1 2015Q2 2015Q3 2015OK
Need for Help with ADLs has Increased
14.4%
20.0%
23.1%
14.2%
Q1 2015Q2 2015Q3 2015OK
Self Report Moderate to Severe Pain
7.4%
8.6%
7.2%
9.0%
Q1 2015Q2 2015Q3 2015OK
Lose Too Much Weight
4.9%
9.5%
2.2%
7.5%
Q1 2015Q2 2015Q3 2015OK
High Risk Residents With Pressure Ulcers
5.7%
1.4%
2.6%
6.6%
Q1 2015Q2 2015Q3 2015OK
Have Depressive Symptoms
9.9%
3.7%
8.4%
7.3%
Q1 2015Q2 2015Q3 2015OK
With a Urinary Tract Infection
8.6%
9.9%
10.8%
5.1%
Q1 2015Q2 2015Q3 2015OK
Experiencing One or More Falls with Major Injury
2.1%
0.0%
0.0%
3.9%
Q1 2015Q2 2015Q3 2015OK
With a Catheter Inserted and Left in Their Bladder
0.0%
1.2%
1.2%
0.5%
Q1 2015Q2 2015Q3 2015OK
Were Physically Restrained

Quality Measures for Short Stay Residents

93.1%
87.5%
87.5%
76.1%
Q1 2015Q2 2015Q3 2015OK
Assessed and Appropriately Given the Pneumococcal Vaccine
95.5%
72.4%
72.4%
73.8%
Q1 2015Q2 2015Q3 2015OK
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
25.0%
-
24.7%
Q1 2015Q2 2015Q3 2015OK
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
2.6%
Q1 2015Q2 2015Q3 2015OK
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.8%
Q1 2015Q2 2015Q3 2015OK
With Pressure Ulcers That Are New or Worsened