Inspection Reports for
Willow Creek West AFC

The facility’s refrigerators are unclean: established. Staff do not serve adequate meals: not established. Staff do not assist residents with bathing: not established. Additional findings: food labeling and resident weight records violations established.

Two rule violations were established related to refrigerator cleanliness and food labeling, and failure to weigh residents monthly. Two allegations were not substantiated.

Staff do not adequately manage Resident A’s ostomy supplies: not established. Additional findings: facility understaffed — established.

One rule violation was established for insufficient staffing levels; the allegation regarding ostomy supply management was not established. A written corrective action plan was required.

The facility was found to be in non-compliance with 2 rules; a written corrective action plan was required before the license is renewed.

Staff not providing Resident A a specific bedroom per physician's order: not established. Resident A’s dinner served late: not established. Resident A went three weeks without showering: established. Facility infested with mice: not established. Facility unclean: established.

Two rule violations were established related to Resident A's hygiene and maintenance of premises due to mouse fecal matter in resident bedrooms. Other allegations were not substantiated.

Resident A presented to the hospital “covered in diarrhea”: not established. Additional findings: Resident A’s Assessment Plan not completed at admission — established. Resident A’s Resident Care Agreement not completed at admission — established.

One violation was established regarding the resident care agreement not being completed at the time of admission. The allegation that Resident A was sent to the hospital covered in diarrhea was not substantiated.

Resident A was not provided with ice on 6/12/24 at 4:00 pm when requested: not established. Resident A is not receiving his 8:00 pm insulin as prescribed: not established. Additional finding: Resident A did not receive his 5:00 pm medications on 6/7/24 — established.

Three allegations were investigated; two were not established, and one additional finding was established requiring a corrective action plan.

Facility staff yell at Resident A: not established. Facility staff failed to obtain needed medical care for Resident A: established. Additional findings: medication administration and failure to contact health care professional — established.

Three violations were established: failure to obtain needed medical care for Resident A, failure to administer medications as prescribed, and failure to contact appropriate health care professionals after medication errors and refusals. The allegation of staff yelling at Resident A was not established.

Facility staff administered the wrong medication to Resident A: not established. Additional findings: Resident A administers his own prescribed injections — established.

One violation was established regarding Resident A administering his own prescription injections without written physician approval.

Resident A did not receive her Klonopin on 9/6/23: established. Additional finding of failure to notify Resident A’s doctor of medication errors: established.

Two violations were established related to medication administration and failure to notify the appropriate health care professional of medication errors.

The applicant is in compliance with the licensing act and applicable administrative rules at the time of licensure.