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Willows Center

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About Willows Center

General Information

Legal Business Name723 Summers Street Operations LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 1, 1988 (28 years)
Capacity97
Residents94
Percent Occupied97%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Willows Center

Willows Center
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 West Virginia 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

June 24, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
CManyPotential for Minimal HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
CManyPotential for Minimal HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
CManyPotential for Minimal HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
CManyPotential for Minimal HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.

June 18, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionUpon the death of a resident, convey the residentís personal funds and an accounting of those funds to the appropriate party.
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 InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.

February 18, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
BSomePotential for Minimal HarmHealth Inspection1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.

February 12, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
BSomePotential for Minimal HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
BSomePotential for Minimal HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Willows Center 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 20min
2hr 35min
ReportedExpected
CNA
55min
45min
ReportedExpected
LPN
40min
1hr 20min
ReportedExpected
RN
3hr 55min
4hr 40min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
96.3%
Q1 2015Q2 2015Q3 2015WV
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
96.0%
Q1 2015Q2 2015Q3 2015WV
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
44.1%
Q1 2015Q2 2015Q3 2015WV
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
8.5%
9.6%
6.5%
16.6%
Q1 2015Q2 2015Q3 2015WV
Received an Antipsychotic Medication
33.3%
19.6%
38.2%
19.0%
Q1 2015Q2 2015Q3 2015WV
Need for Help with ADLs has Increased
3.2%
4.5%
3.1%
8.5%
Q1 2015Q2 2015Q3 2015WV
Self Report Moderate to Severe Pain
5.4%
6.5%
7.7%
9.1%
Q1 2015Q2 2015Q3 2015WV
Lose Too Much Weight
4.8%
13.6%
11.3%
7.0%
Q1 2015Q2 2015Q3 2015WV
High Risk Residents With Pressure Ulcers
8.7%
8.7%
11.4%
6.1%
Q1 2015Q2 2015Q3 2015WV
Have Depressive Symptoms
10.8%
7.8%
15.4%
6.8%
Q1 2015Q2 2015Q3 2015WV
With a Urinary Tract Infection
2.6%
2.6%
3.7%
4.6%
Q1 2015Q2 2015Q3 2015WV
Experiencing One or More Falls with Major Injury
8.1%
7.6%
10.3%
4.0%
Q1 2015Q2 2015Q3 2015WV
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015WV
Were Physically Restrained

Quality Measures for Short Stay Residents

97.4%
99.0%
100.0%
82.6%
Q1 2015Q2 2015Q3 2015WV
Assessed and Appropriately Given the Pneumococcal Vaccine
97.4%
97.4%
97.4%
82.8%
Q1 2015Q2 2015Q3 2015WV
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
11.7%
13.4%
21.3%
20.0%
Q1 2015Q2 2015Q3 2015WV
Self Report Moderate to Severe Pain
1.3%
2.8%
1.5%
2.2%
Q1 2015Q2 2015Q3 2015WV
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.9%
1.5%
Q1 2015Q2 2015Q3 2015WV
With Pressure Ulcers That Are New or Worsened