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Willow Crossing Health & Rehabilitation Center

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3550 Central Ave
Columbus, IN 47203
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Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 80
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: 10/21/2011

Date of last standard health inspection: 10/21/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 1
Average number of Health Deficiencies in IN: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in IN: 0 - 25
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow married couples living in the same facility to share a room. 00/07/2012 03/00/2012 2 Few

Inspection, 02/01/2010

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. 02/01/2010 00/07/2011 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 02/01/2010 00/07/2011 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 02/01/2010 00/07/2011 2 Few
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 02/01/2010 00/07/2011 2 Few
Pharmacy Service Deficiencies
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. 02/01/2010 00/07/2011 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 02/01/2010 00/07/2011 2 Some
Ensure that residents are safe from serious medication errors. 02/01/2010 00/07/2011 2 Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 02/01/2010 00/07/2011 2 Some
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. 02/01/2010 00/07/2011 2 Some
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. 02/01/2010 00/07/2011 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/01/2010 00/07/2011 2 Few

Inspection, 00/08/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/08/2010 02/09/2010 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/08/2010 02/04/2010 2 Many
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/08/2010 02/04/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/08/2010 02/02/2010 2 Few

Inspection, 01/00/2008

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/00/2008 01/01/2009 2 Few

Inspection, 01/08/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 01/08/2007 01/01/2009 2 Few
Environmental Deficiencies
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. 01/08/2007 01/01/2009 3 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/08/2007 01/01/2009 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. 01/08/2007 01/01/2009 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/08/2007 01/01/2009 2 Few

Inspection, 00/07/2004

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/07/2004 00/03/2005 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 00/07/2004 00/03/2005 3 Few

Inspection, 02/02/2002

Pharmacy Service Deficiencies
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. 02/02/2002 00/07/2003 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/02/2002 00/07/2003 2 Few

Inspection, 00/09/2002

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/09/2002 02/02/2002 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 00/09/2002 02/02/2002 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. 00/09/2002 02/02/2002 2 Few

Inspection, 02/02/2001

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/02/2001 02/02/2002 2 Some
Keep clinical record information safe. 02/02/2001 02/02/2002 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are safe from serious medication errors. 02/02/2001 02/02/2002 2 Few

Inspection, 01/01/2001

Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 01/01/2001 01/08/2001 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that residents are fully informed and understand their health status, care and treatments. 01/01/2001 01/08/2001 2 Few
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. 01/01/2001 01/08/2001 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/01/2001 01/08/2001 2 Few
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 01/01/2001 01/08/2001 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 2 out of 5 stars
Total Number of Residents 85 70 67
Total, Licensed Nurse Staff Hours
per Resident per Day 		15 hours 26 minutes 11 hours 21 minutes 1 hour 33 minutes
RN Hours
per Resident per Day 		14 hours 37 minutes 10 hours 23 minutes 34 minutes
LPN/LVN Hours
per Resident per Day 		14 hours 52 minutes 10 hours 41 minutes 59 minutes
CNA Hours
per Resident per Day 		16 hours 21 minutes 11 hours 55 minutes 1 hour 55 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: 10/31/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 10/31/2011
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, 00/04/2011

Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper fire barriers, ventilation and signs for the transfilling of oxygen. 00/04/2011 01/05/2011 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 00/04/2011 01/05/2011 2 Some

Inspection, 03/01/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 03/01/2010 01/04/2011 2 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of portable space heaters. 03/01/2010 01/04/2011 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 03/01/2010 01/04/2011 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 03/01/2010 01/04/2011 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 03/01/2010 01/04/2011 2 Some
Interior Finish Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Fire resistant interior walls. 03/01/2010 01/04/2011 2 Many
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 03/01/2010 01/04/2011 2 Some