Willow Creek Rehab And Care Ce

1165 EASTON AVE
Somerset, NJ 8873
(732) 246-4100
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 180
Number of Residents: 155
Percent of Occupied Beds: 86%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? Yes
Resident and Family Councils? Resident
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? No
Overall: 3 Star Overall Rating
Health Inspection: 2 Star Health Inspection Rating
Nurse Staffing: 3 Star Nurse Staffing Rating
Quality Measures: 5 Star Quality Measures Rating
RN Only: 3 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20070911 Health Mistreatment Deficiencies Protect each resident from all abuse, physical punishment, and being separated from others. Isolated Immediate jeopardy to resident health or safety 20070825
20070911 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Isolated Immediate jeopardy to resident health or safety 20070825
20080104 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Isolated Immediate jeopardy to resident health or safety 20080104
20080104 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20080204
20080104 Health Administration Deficiencies Get services outside the nursing home that meet professional standards. Isolated Minimal harm or potential for actual harm 20080204
20080104 Health Quality Care Deficiencies Make sure that each resident's nutritional needs were met. Isolated Minimal harm or potential for actual harm 20080211
20080104 Health Mistreatment Deficiencies Protect residents from mistreatment, neglect, and/or theft of personal property. Isolated Immediate jeopardy to resident health or safety 20080104
20080808 Health Environmental Deficiencies Have a program to keep infection from spreading. Isolated Minimal harm or potential for actual harm 20080915
20080924 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20081031
20090331 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20090518
20090724 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20090821
20090724 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Isolated Actual harm 20090821
20090724 Health Administration Deficiencies Keep accurate and appropriate medical records. Pattern Potential for minimal harm 20090821
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 85
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 94
Percent of long-stay residents whose need for help with daily activities has increased: 6
Percent of long-stay residents who have moderate to severe pain: 1
Percent of high-risk long-stay residents who have pressure sores: 9
Percent of low-risk long-stay residents who have pressure sores: 2
Percent of long-stay residents who were physically restrained: 1
Percent of long-stay residents who are more depressed or anxious: 5
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 33
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 3
Percent of long-stay residents who spend most of their time in bed or in a chair: 2
Percent of long-stay residents whose ability to move about in and around their room got worse: 6
Percent of long-stay residents who had a urinary tract infection: 3
Percent of long-stay residents who lose too much weight: 4
Percent of short-stay residents given influenza vaccination during the flu season: 76
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 93
Percent of short-stay residents who have delirium: 0
Percent of short-stay residents who had moderate to severe pain: 12
Percent of short-stay residents who have pressure sores: 19
# of Residents: 155
# RN Hours per Resident: 0.68
# LPN Hours per Resident: 1.1
# CNA Hours per Resident: 1.88
Total Staff Hours per Resident: 1.78