Inspection Reports for The Willows at Ramapo Rehabilitation and Nursing Center
NY, 10901
Back to Facility ProfileDeficiencies per Year
24
18
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6
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Inspection Report
Complaint Investigation
Deficiencies: 21
Mar 4, 2025
Visit Reason
State-compiled facility profile showing multiple complaint surveys from 2023 to 2025 with deficiency and citation history.
Findings
Across multiple complaint surveys from 2023 to 2025, the facility received several Level 2 deficiencies primarily related to quality of care and life safety code issues, all corrected within a short period. No enforcement actions or citations related to actual harm were noted.
Complaint Details
Facility received 19 complaints from November 1, 2021 to October 31, 2025, with 17 complaint-related on-site inspections and 5 complaint-related citations during this period.
Severity Breakdown
Level 2: 22
Deficiencies (21)
| Description | Severity |
|---|---|
| Care plan timing and revision: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Activities meet interest/needs each resident: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Food procurement,store/prepare/serve-sanitary: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Increase/prevent decrease in rom/mobility: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Investigate/prevent/correct alleged violation: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Quality of care: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Resident rights/exercise of rights: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Respiratory/tracheostomy care and suctioning: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Develop/implement comprehensive care plan: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Free of accident hazards/supervision/devices: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Care plan timing and revision: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Cooking facilities: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Discharge from exits: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Egress doors: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Electrical systems - essential electric syste: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Exit signage: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Gas equipment - cylinder and container storag: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Illumination of means of egress: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Maintenance, inspection & testing - doors: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Portable fire extinguishers: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Sprinkler system - maintenance and testing: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
Report Facts
Inspections on page: 7
Total citations: 22
Number of complaints: 19
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