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Willows Center: Abuse Reporting Failures - WV

Healthcare Facility:

Federal inspectors cited Willows Center on December 22 for failing to serve food at appetizing temperatures after finding multiple temperature violations across the 92-bed facility.

Willows Center facility inspection

The most glaring violation occurred on December 15 when inspectors asked the Director of Dining to check milk temperatures on the west hall beverage cart at 12:45 PM. The milk registered 54 degrees Fahrenheit.

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The Director of Dining acknowledged the temperature exceeded FDA food code requirements. Federal regulations mandate cold foods stay at 41 degrees or below.

Four of five hallways tested showed similar milk temperature problems on beverage carts throughout the inspection.

When inspectors requested lunch menu temperatures on December 17 at 12:15 PM, employee #152 said the cook writes them on production sheets. He handed over a production sheet with no temperatures recorded. The cook had failed to document any food temperatures.

Resident #58 described the broader food quality problems during a December 15 interview.

"The food is terrible, they have not updated any meal preferences with me, I asked the manager almost three months ago," the resident said. "The food is cold, we are last to get meals sometimes they run out, I usually do not get what I ask for. When they send us food, generally it is all mixed together."

That same day at 12:50 PM, inspectors observed Resident #58 receiving lunch. The meal consisted of a turkey burger with lettuce and tomato, plus baked beans on the same plate. The baked beans had run across the plate and under the hamburger bun.

"I wish they would have put those beans in a bowl," Resident #58 told the inspector.

The Food Service Director confirmed the meal presentation problems when inspectors showed her Resident #58's plate. She acknowledged the baked beans were running into the hamburger bun.

When asked whether anyone had updated Resident #58's meal preferences after the resident's three-month-old request, the Food Service Director said no.

"No I have not," she told inspectors.

The violations represent systematic failures in both food safety and meal quality at Willows Center. Federal food safety standards exist to prevent foodborne illness, particularly dangerous for elderly residents with compromised immune systems.

Milk temperatures above 41 degrees create conditions for bacterial growth. The 54-degree reading on the beverage cart exceeded safe temperatures by 13 degrees.

The lack of temperature documentation suggests kitchen staff weren't monitoring food safety protocols. Production sheets should record temperatures for all hot and cold foods to ensure compliance with federal standards.

Meal presentation problems compound food safety issues. When foods mix together on plates, residents may avoid eating, leading to nutritional deficiencies. Cold meals lose both nutritional value and palatability.

Resident #58's experience illustrates how multiple system failures affect individual care. The resident made a specific request for meal preference updates three months before the inspection. Staff never followed through.

The resident described receiving mixed-together food and cold meals, sometimes going without preferred items when the kitchen ran out. Being "last to get meals" suggests poor meal distribution planning.

The inspection found these problems affected "some" residents across the facility, not isolated incidents.

Food service failures at nursing homes can have serious consequences for elderly residents who depend entirely on the facility for nutrition. Poor meal temperatures, unappetizing presentation, and ignored dietary preferences can lead to malnutrition and weight loss.

Willows Center must correct the temperature monitoring systems, train kitchen staff on proper food handling, and establish procedures for updating resident meal preferences. The facility has until its next inspection to demonstrate compliance with federal food service standards.

Resident #58 continues waiting for those meal preference updates, now approaching four months since the original request.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Willows Center from 2025-12-22 including all violations, facility responses, and corrective action plans.

Additional Resources

🏥 Editorial Standards & Professional Oversight

Data Source: This report is based on official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).

Editorial Process: Content generated using AI (Claude) to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.

Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.

Medical Perspective: As emergency medical professionals, we understand how nursing home violations can escalate to health emergencies requiring ambulance transport. This analysis contextualizes regulatory findings within real-world patient safety implications.

Last verified: May 6, 2026 | Learn more about our methodology

📋 Quick Answer

WILLOWS CENTER in PARKERSBURG, WV was cited for abuse-related violations during a health inspection on December 22, 2025.

The milk registered 54 degrees Fahrenheit.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at WILLOWS CENTER?
The milk registered 54 degrees Fahrenheit.
How serious are these violations?
These are very serious violations that may indicate significant patient safety concerns. Federal regulations require nursing homes to maintain the highest standards of care. Families should review the full inspection report and consider whether this facility meets their safety expectations.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in PARKERSBURG, WV, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from WILLOWS CENTER or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 515085.
Has this facility had violations before?
To check WILLOWS CENTER's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.