Inspection Reports for One Willow Manor

ME, 04106

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Inspection Report Summary

The most recent inspection on October 2, 2023, found deficiencies related to employee background checks and fire drill requirements. Earlier inspections were not provided for comparison, so broader patterns cannot be determined from the available reports. The main issues involved incomplete background screenings for employees and failure to conduct the required number of fire drills annually. There were no complaint investigations or enforcement actions listed in the available reports. Without additional data, it is unclear whether these issues represent a new concern or part of an ongoing pattern.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

65% better than Maine average
Maine average: 5.7 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023

Inspection Report

Biennial Survey
Census: 2 Capacity: 6 Deficiencies: 2 Date: Oct 2, 2023

Visit Reason
The inspection was a biennial survey conducted to assess compliance with licensing and safety regulations for the Level II Residential Care Facility.

Findings
The facility was found not in substantial compliance due to failure to conduct required Maine Background Check Center screenings for all employees and failure to complete the required six fire drills per year.

Deficiencies (2)
Failure to conduct Maine Background Check Center background checks for three employees as required.
Failure to complete six fire drills per year spaced throughout the year as required for facilities with three or more beds.
Report Facts
Number of employees without MBCC background check: 3 Number of fire drills completed: 5 Required number of fire drills: 6 Census: 2 Total capacity: 6

Employees mentioned
NameTitleContext
Orane WalshAdministratorDiscussed findings with Surveyor during exit interview.

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