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Willow Creek Retirement Center
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49 Willow Creek Lane
Jackson, MS 39272
Click to show phone number
Get driving directions
0 Recommendations
Details
| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 88 |
| 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: 12/01/2011
| Date of last standard health inspection: | 12/01/2011 |
| 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 MS: | 2 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in MS: | 0 - 5 |
Inspection, 00/01/2012
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide housekeeping and maintenance services. | 00/01/2012 | 00/09/2001 | 2 | Some |
| Have a program that investigates, controls and keeps infection from spreading. | 00/01/2012 | 00/09/2001 | 2 | Many |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 00/01/2012 | 00/09/2001 | 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. | 00/01/2012 | 00/09/2001 | 2 | Few |
Resident Rights Deficiencies |
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| 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. | 00/01/2012 | 00/09/2001 | 2 | Some |
Inspection, 00/09/2011
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. | 00/09/2011 | 01/07/2012 | 3 | Few |
Inspection, 00/04/2011
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 00/04/2011 | 01/00/2012 | 2 | Few |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide housekeeping and maintenance services. | 00/04/2011 | 01/00/2012 | 2 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 00/04/2011 | 01/00/2012 | 2 | Few |
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. | 00/04/2011 | 01/00/2012 | 2 | Some |
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. | 00/04/2011 | 01/00/2012 | 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. | 00/04/2011 | 01/00/2012 | 2 | Few |
Inspection, 02/02/2003
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | 02/02/2003 | 00/01/2005 | 2 | Few |
Inspection, 01/04/2002
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. | 01/04/2002 | 02/09/2003 | 2 | Few |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 01/04/2002 | 02/09/2003 | 2 | Few |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | 01/04/2002 | 02/09/2003 | 2 | Few |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | 01/04/2002 | 02/09/2003 | 2 | Some |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/04/2002 | 02/09/2003 | 2 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 01/04/2002 | 02/09/2003 | 2 | Many |
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | 01/04/2002 | 02/09/2003 | 2 | Few |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 01/04/2002 | 02/09/2003 | 2 | Many |
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%. | 01/04/2002 | 02/09/2003 | 2 | Some |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 01/04/2002 | 02/09/2003 | 2 | Some |
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. | 01/04/2002 | 02/09/2003 | 2 | Some |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | 01/04/2002 | 02/09/2003 | 2 | Few |
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. | 01/04/2002 | 02/09/2003 | 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 MS | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 2 out of 5 stars |
| Total Number of Residents | 85 | 78 | 82 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 19 hours 28 minutes | 1 hour 40 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 18 hours 28 minutes | 22 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 18 hours 51 minutes | 1 hour 18 minutes |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 20 hours 29 minutes | 2 hours 54 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: 12/01/2011
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 12/01/2011 |
| 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 MS: | 0 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in MS: | 0 - 0 |
Inspection, 00/02/2011
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 00/02/2011 | 01/00/2012 | 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. | 00/02/2011 | 01/00/2012 | 2 | Few |
| Corridors or aisles that are unobstructed and are at least 8 feet in width. | 00/02/2011 | 01/00/2012 | 2 | Few |
Inspection, 01/03/2002
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 01/03/2002 | 02/09/2003 | 2 | Few |
