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Life Care Center Of The Willows
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1000 Elizabeth Dr
Valparaiso, IN 46383
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0 Recommendations
Details
| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 100 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 09/30/2011
| Date of last standard health inspection: | 09/30/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 0 |
| Average number of Health Deficiencies in IN: | 4 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in IN: | 0 - 25 |
Inspection, 02/04/2010
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | 02/04/2010 | 02/03/2011 | 2 | Some |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 02/04/2010 | 02/03/2011 | 2 | Some |
| Have a program that investigates, controls and keeps infection from spreading. | 02/04/2010 | 02/03/2011 | 2 | Some |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 02/04/2010 | 02/03/2011 | 2 | Some |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 02/04/2010 | 02/03/2011 | 2 | Many |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure 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. | 02/04/2010 | 02/03/2011 | 2 | Few |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 02/04/2010 | 02/03/2011 | 2 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the interests and needs of each resident. | 02/04/2010 | 02/03/2011 | 2 | Few |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | 02/04/2010 | 02/03/2011 | 2 | Few |
| Provide care by qualified persons according to each resident's written plan of care. | 02/04/2010 | 02/03/2011 | 2 | Some |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 02/04/2010 | 02/03/2011 | 2 | Few |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 02/04/2010 | 02/03/2011 | 2 | Few |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | 02/04/2010 | 02/03/2011 | 2 | Few |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | 02/04/2010 | 02/03/2011 | 2 | Few |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | 02/04/2010 | 02/03/2011 | 2 | Few |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Conduct initial and periodic assessments of each resident's functional capacity. | 02/04/2010 | 02/03/2011 | 2 | Some |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 02/04/2010 | 02/03/2011 | 2 | Some |
| Allow residents the right to participate in the planning or revision of care and treatment. | 02/04/2010 | 02/03/2011 | 2 | Some |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents a notice of rights, rules, services and charges. | 02/04/2010 | 02/03/2011 | 1 | Many |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 02/04/2010 | 02/03/2011 | 2 | Few |
Inspection, 00/07/2010
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | 00/07/2010 | 00/03/2011 | 2 | Few |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 00/07/2010 | 00/03/2011 | 2 | Some |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | 00/07/2010 | 00/03/2011 | 2 | Few |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. | 00/07/2010 | 00/03/2011 | 2 | Few |
| Store, cook, and serve food in a safe and clean way. | 00/07/2010 | 00/03/2011 | 2 | Many |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care by qualified persons according to each resident's written plan of care. | 00/07/2010 | 00/03/2011 | 2 | Some |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 00/07/2010 | 00/03/2011 | 2 | Few |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | 00/07/2010 | 00/03/2011 | 2 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Conduct initial and periodic assessments of each resident's functional capacity. | 00/07/2010 | 00/03/2011 | 2 | Few |
| Review or revise the resident's care plan after any major change in physical or mental health. | 00/07/2010 | 00/03/2011 | 2 | Few |
| Ensure each resident receives an accurate assessment by a qualified health professional. | 00/07/2010 | 00/03/2011 | 2 | Some |
| Allow residents the right to participate in the planning or revision of care and treatment. | 00/07/2010 | 00/03/2011 | 2 | Some |
Inspection, 03/00/2009
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 03/00/2009 | 02/04/2010 | 2 | Few |
Inspection, 00/09/2006
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 00/09/2006 | 00/09/2007 | 2 | Few |
Inspection, 00/07/2006
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that residents are safe from serious medication errors. | 00/07/2006 | 00/07/2007 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 00/07/2006 | 00/07/2007 | 2 | Few |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in IN | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 4 out of 5 stars |
| Total Number of Residents | 85 | 70 | 55 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 11 hours 21 minutes | 1 hour 46 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 10 hours 23 minutes | 45 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 10 hours 41 minutes | 1 hour 1 minute |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 11 hours 55 minutes | 2 hours 6 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
Short-Term Residents
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 10/12/2011
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 10/12/2011 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in IN: | 0 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in IN: | 0 - 0 |
Inspection, 02/04/2011
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 02/04/2011 | 02/04/2012 | 2 | Many |
| Properly installed electrical wiring and equipment. | 02/04/2011 | 02/04/2012 | 2 | Some |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A written emergency evacuation plan. | 02/04/2011 | 02/04/2012 | 2 | Many |
| Record of quarterly fire drills for each shift under varying conditions. | 02/04/2011 | 02/04/2012 | 2 | Many |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 02/04/2011 | 02/04/2012 | 2 | Many |
| Horizontal exits. | 02/04/2011 | 02/04/2012 | 2 | Some |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A fire alarm system that can be heard throughout the facility. | 02/04/2011 | 02/04/2012 | 2 | Some |
Furnishings and Decorations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly sized and located linen or trash receptacles. | 02/04/2011 | 02/04/2012 | 2 | Some |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 02/04/2011 | 02/04/2012 | 2 | Some |
Inspection, 01/02/2010
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 01/02/2010 | 00/05/2011 | 2 | Some |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 01/02/2010 | 00/05/2011 | 2 | Many |
