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Complaint Investigation

Cook Willow Health & Rehabilitation Center, Inc.

September 12, 2025 · Plymouth, CT · 81 Hillside Avenue
Citations 9
CMS Rating 5/5
Beds 60
Provider ID 075349
Healthcare Facility
Cook Willow Health & Rehabilitation Center, Inc.
Plymouth, CT  ·  View full profile →
Inspection Summary

COOK WILLOW HEALTH & REHABILITATION CENTER, INC. in PLYMOUTH, CT — inspection on September 12, 2025.

Found 9 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

completed immediately after the incident has occurred (all abuse, alleged or confirmed), and the facility will follow State Health Department guidelines and other regulatory agencies for reporting requirements.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/12/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Cook Willow Health & Rehabilitation Center, Inc.

81 Hillside Avenue Plymouth, CT 06782

SUMMARY STATEMENT OF DEFICIENCIES

Review of the Abuse Policy dated 11/2021 directed in part, any complaint of, observation of, or suspicion of resident abuse, mistreatment, or neglect is to be thoroughly investigated.

The investigation will include an accident report, obtaining statements from potential witnesses, completion of necessary evaluations (i.e., skin/body checks, pain evaluation), and maintaining a timeline of events.

Facility investigations will be completed with seventy-two (72) hours.

Facility ID:

Federal health inspectors cited COOK WILLOW HEALTH & REHABILITATION CENTER, INC. in PLYMOUTH, CT for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-09-12.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Scope/Severity Level C: pattern, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of COOK WILLOW HEALTH & REHABILITATION CENTER, INC..

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-22.

Federal health inspectors cited COOK WILLOW HEALTH & REHABILITATION CENTER, INC. in PLYMOUTH, CT for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-09-12.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of COOK WILLOW HEALTH & REHABILITATION CENTER, INC..

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-22.

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Federal health inspectors cited COOK WILLOW HEALTH & REHABILITATION CENTER, INC. in PLYMOUTH, CT for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-09-12.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of COOK WILLOW HEALTH & REHABILITATION CENTER, INC..

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-22.

Federal health inspectors cited COOK WILLOW HEALTH & REHABILITATION CENTER, INC. in PLYMOUTH, CT for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-09-12.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of COOK WILLOW HEALTH & REHABILITATION CENTER, INC..

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-22.

Federal health inspectors cited COOK WILLOW HEALTH & REHABILITATION CENTER, INC. in PLYMOUTH, CT for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-12.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of COOK WILLOW HEALTH & REHABILITATION CENTER, INC..

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-22.

Federal health inspectors cited COOK WILLOW HEALTH & REHABILITATION CENTER, INC. in PLYMOUTH, CT for a deficiency under regulatory tag F-F0849 during a standard health inspection conducted on 2025-09-12.

Category: Administration Deficiencies

The facility was found deficient in the following area: Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of COOK WILLOW HEALTH & REHABILITATION CENTER, INC..

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-22.

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Federal health inspectors cited COOK WILLOW HEALTH & REHABILITATION CENTER, INC. in PLYMOUTH, CT for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-12.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 9 deficiencies cited during this inspection of COOK WILLOW HEALTH & REHABILITATION CENTER, INC..

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-22.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in PLYMOUTH, CT, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from COOK WILLOW HEALTH & REHABILITATION CENTER, INC. or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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