Willow Springs Care, Inc

4007 TIETON DRIVE
Yakima, WA 98908
(509) 966-4500
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 75
Number of Residents: 69
Percent of Occupied Beds: 92%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? No
Resident and Family Councils? Resident
Continuing Care Retirement Community? No
Quality Indicator Survey? Yes
Special Focus Facility? No
Overall: 2 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 4 Star Nurse Staffing Rating
Quality Measures: 3 Star Quality Measures Rating
RN Only: 4 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20071012 Health Mistreatment Deficiencies 1) Hire only people who have 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. Isolated Minimal harm or potential for actual harm 20071118
20071212 Health Mistreatment Deficiencies 1) Hire only people who have 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. Isolated Minimal harm or potential for actual harm 20080110
20071212 Health Resident Assessment Deficiencies Screen residents when they are first admitted to send them to an area with special care for people with developmental disabilities or mental illness, if needed. Isolated Minimal harm or potential for actual harm 20080110
20080115 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20080211
20080716 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm 20080730
20080716 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Isolated Minimal harm or potential for actual harm 20080730
20080806 Health Resident Rights Deficiencies Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care. Isolated Actual harm 20080925
20080806 Health Mistreatment Deficiencies 1) Hire only people who have 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. Isolated Minimal harm or potential for actual harm 20080925
20080806 Health Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Isolated Actual harm 20080925
20080806 Health Resident Assessment Deficiencies Screen residents when they are first admitted to send them to an area with special care for people with developmental disabilities or mental illness, if needed. Isolated Minimal harm or potential for actual harm 20080925
20080909 Health Resident Rights Deficiencies Provide enough notice before discharging or transferring a resident. Isolated Minimal harm or potential for actual harm 20080923
20090210 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Isolated Minimal harm or potential for actual harm 20090316
20090210 Health Resident Rights Deficiencies Provide care in a way that keeps or builds each resident's dignity and self respect. Pattern Minimal harm or potential for actual harm 20090316
20090210 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20090316
20090210 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 20090316
20090415 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Actual harm 20090505
20090706 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Pattern Minimal harm or potential for actual harm 20090813
20090706 Health Administration Deficiencies 1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides. Pattern Minimal harm or potential for actual harm 20090813
20090706 Health Administration Deficiencies Have licensed, certified, or registered staff to give needed services. Isolated Minimal harm or potential for actual harm 20090813
20090706 Health Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Pattern Minimal harm or potential for actual harm 20090813
20090706 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Pattern Minimal harm or potential for actual harm 20090813
20090706 Health Mistreatment Deficiencies 1) Hire only people who have 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. Isolated Minimal harm or potential for actual harm 20090813
20090706 Health Resident Rights Deficiencies Try to resolve each resident's complaints quickly. Pattern Minimal harm or potential for actual harm 20090813
20091208 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20100101
20091208 Health Nutrition and Dietary Deficiencies Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern Minimal harm or potential for actual harm 20100101
20100318 Health Administration Deficiencies Hire nurse aides who have completed required training and shown that they are skilled. Isolated Minimal harm or potential for actual harm 20100521
20100318 Health Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Isolated Minimal harm or potential for actual harm 20100521
20100427 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm 20100521
20100427 Health Mistreatment Deficiencies 1) Hire only people who have 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. Pattern Minimal harm or potential for actual harm 20100521
20100427 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 20100521
20100726 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Minimal harm or potential for actual harm 20100906
20100824 Health Administration Deficiencies Keep accurate and appropriate medical records. Pattern Minimal harm or potential for actual harm 20100910
20100921 Health Pharmacy Service Deficiencies Properly mark drugs and other similar products. Isolated Minimal harm or potential for actual harm 20101001
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 93
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: 7
Percent of long-stay residents who have moderate to severe pain: 3
Percent of high-risk long-stay residents who have pressure sores: 39
Percent of low-risk long-stay residents who have pressure sores: 16
Percent of long-stay residents who were physically restrained: 0
Percent of long-stay residents who are more depressed or anxious: 26
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 40
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 5
Percent of long-stay residents who spend most of their time in bed or in a chair: 1
Percent of long-stay residents whose ability to move about in and around their room got worse: 4
Percent of long-stay residents who had a urinary tract infection: 15
Percent of long-stay residents who lose too much weight: 19
Percent of short-stay residents given influenza vaccination during the flu season: 86
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 92
Percent of short-stay residents who have delirium: 2
Percent of short-stay residents who had moderate to severe pain: 16
Percent of short-stay residents who have pressure sores: 18
# of Residents: 69
# RN Hours per Resident: 0.94
# LPN Hours per Resident: 0.56
# CNA Hours per Resident: 2.63
Total Staff Hours per Resident: 1.5