Villa at Willow Place: Chemotherapy Gap Failure - MI
The resident, identified in inspection records as R200, was on a chemotherapy cycle prescribed by his oncologist, 14 days on and 7 days off, repeating continuously. Somewhere in that cycle, the medication stopped. It did not resume for 30 days.
When inspectors asked for medication error reports documenting the gap, the ADON said there were none. When inspectors asked for consult notes from R200's oncologist covering the period when the medication was not given, the facility produced only two documents, both dated after the gap had already occurred, August 21 and August 25, 2025. Nothing from before.
The DON explained how the facility handles medication changes after outside appointments: paperwork comes back with the resident, and the nurse who receives him is responsible for reviewing it. What that process produced in R200's case, a 30-day interruption in cancer treatment, went unrecorded and unreported.
The ADON offered one partial explanation. The nurse practitioner who had written the chemotherapy order, an order that ended in July, had since been terminated from the facility. No further explanation was provided.
The DON initially suggested R200 had been hospitalized during that period, which might have accounted for the break. The ADON corrected her on the spot. No hospitalization had occurred around the time the medication was not given.
Inspectors cited the violation as causing minimal harm or potential for actual harm, affecting a small number of residents.
R200's chemotherapy had since resumed, according to notes available at the time of inspection. Whether the 30-day gap affected the course of his treatment, the inspection report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Villa At Willow Place from 2025-09-15 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 22, 2026 · Our methodology
Villa at Willow Place in Ypslianti, MI was cited for violations during a health inspection on September 15, 2025.
Somewhere in that cycle, the medication stopped.
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.