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Willow Crest Nursing Pavilion

📍 515 North Main, Sandwich, IL 60548 📞 (815) 786-8426 🛏️ 113 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2023 1 penalties totaling $150,514

$150,514
Jan 17, 2023

Fine

2022 2 penalties totaling $36,965

$16,965
Aug 12, 2022

Fine

$20,000
Jul 28, 2022

Fine

2021 5 penalties totaling $33,650

$20,000
Nov 18, 2021

Fine

$9,750
Sep 23, 2021

Fine

$1,625
Jun 28, 2021

Fine

$1,300
Jun 21, 2021

Fine

$975
Jun 14, 2021

Fine

2020 2 penalties totaling $10,860

$10,205
Jul 22, 2020

Fine

$655
Jun 8, 2020

Fine

2018 3 penalties totaling $64,802

$20,816
Aug 8, 2018

Fine

$43,986
Feb 16, 2018

Fine

$0
Feb 16, 2018

Payment Denial

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Health Violations by Year

2024 1 violations

Tag 0625 D Jun 26, 2024

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

✓ Corrected: Jul 5, 2024

2023 21 violations

Tag 0677 D Sep 28, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Oct 23, 2023
Tag 0684 D Sep 28, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Oct 23, 2023
Tag 0686 D Sep 28, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Oct 23, 2023
Tag 0689 E Sep 28, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 23, 2023
Tag 0690 D Sep 28, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Oct 23, 2023
Tag 0694 D Sep 28, 2023

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

✓ Corrected: Oct 23, 2023
Tag 0697 G Sep 28, 2023

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Oct 23, 2023
Tag 0725 F Sep 28, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Oct 23, 2023
Tag 0755 D Sep 28, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Nov 3, 2023
Tag 0761 D Sep 28, 2023

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Oct 23, 2023
Tag 0880 D Sep 28, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 23, 2023
Tag 0684 D May 17, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: May 31, 2023
Tag 0686 D May 17, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: May 31, 2023
Tag 0755 D May 2, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: May 12, 2023
Tag 0760 D May 2, 2023

Ensure that residents are free from significant medication errors.

✓ Corrected: May 12, 2023
Tag 0583 D Jan 17, 2023

Keep residents' personal and medical records private and confidential.

✓ Corrected: Jan 31, 2023
Tag 0600 J Jan 17, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jan 31, 2023
Tag 0607 D Jan 17, 2023

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jan 31, 2023
Tag 0609 D Jan 17, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jan 31, 2023
Tag 0610 D Jan 17, 2023

Respond appropriately to all alleged violations.

✓ Corrected: Jan 31, 2023
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2022 21 violations

Tag 0684 D Nov 17, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Nov 29, 2022
Tag 0686 D Nov 17, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Nov 29, 2022
Tag 0690 D Nov 17, 2022

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Nov 29, 2022
Tag 0692 D Nov 17, 2022

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Nov 29, 2022
Tag 0755 D Nov 17, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Nov 29, 2022
Tag 0600 D Nov 7, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Nov 17, 2022
Tag 0677 D Nov 2, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Nov 12, 2022
Tag 0580 D Sep 26, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Oct 15, 2022
Tag 0684 G Sep 26, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Nov 10, 2022
Tag 0689 G Sep 26, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 9, 2022
Tag 0697 G Sep 26, 2022

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Oct 15, 2022
Tag 0600 D Jul 28, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Aug 15, 2022
Tag 0677 D Jul 28, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Aug 15, 2022
Tag 0686 D Jul 28, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Aug 15, 2022
Tag 0693 D Jul 28, 2022

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Aug 15, 2022
Tag 0760 D Jul 28, 2022

Ensure that residents are free from significant medication errors.

✓ Corrected: Aug 15, 2022
Tag 0761 E Jul 28, 2022

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Aug 15, 2022
Tag 0880 F Jul 28, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 15, 2022
Tag 0885 F Jul 28, 2022

Report COVID19 data to residents and families.

✓ Corrected: Aug 15, 2022
Tag 0886 F Jul 28, 2022

Perform COVID19 testing on residents and staff.

✓ Corrected: Aug 15, 2022

2021 13 violations

Tag 0880 F Dec 2, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 16, 2021
Tag 0689 D Nov 18, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 30, 2021
Tag 0677 D Oct 5, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Oct 13, 2021
Tag 0686 D Sep 23, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Oct 13, 2021
Tag 0689 D Sep 23, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 13, 2021
Tag 0755 D Sep 23, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Oct 13, 2021
Tag 0761 F Sep 23, 2021

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Oct 13, 2021
Tag 0812 F Sep 23, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Oct 13, 2021
Tag 0880 E Sep 23, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 13, 2021
Tag 0677 E Aug 27, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Sep 10, 2021
Tag 0580 D Aug 25, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Sep 1, 2021
Tag 0690 D Aug 25, 2021

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Sep 1, 2021
Tag 0600 D May 18, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jun 8, 2021
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2020 15 violations

Tag 0580 D Aug 11, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Aug 26, 2020
Tag 0689 D Aug 11, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 26, 2020
Tag 0684 D Jul 29, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Aug 20, 2020
Tag 0880 D Jul 22, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 16, 2020
Tag 0550 D Mar 12, 2020

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Apr 3, 2020
Tag 0677 D Mar 12, 2020

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Apr 3, 2020
Tag 0684 D Mar 12, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 3, 2020
Tag 0686 D Mar 12, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Apr 3, 2020
Tag 0690 D Mar 12, 2020

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Apr 3, 2020
Tag 0755 D Mar 12, 2020

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Apr 3, 2020
Tag 0760 D Mar 12, 2020

Ensure that residents are free from significant medication errors.

✓ Corrected: Apr 3, 2020
Tag 0811 D Mar 12, 2020

Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

✓ Corrected: Apr 3, 2020
Tag 0812 E Mar 12, 2020

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Apr 3, 2020
Tag 0880 D Mar 12, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 3, 2020
Tag 0584 D Feb 20, 2020

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Mar 6, 2020

2019 18 violations

Tag 0689 D Oct 15, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 25, 2019
Tag 0677 D Aug 1, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Aug 13, 2019
Tag 0689 D Jul 3, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 26, 2019
Tag 0578 D Apr 11, 2019

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: May 7, 2019
Tag 0656 D Apr 11, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 7, 2019
Tag 0657 D Apr 11, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: May 7, 2019
Tag 0679 D Apr 11, 2019

Provide activities to meet all resident's needs.

✓ Corrected: May 7, 2019
Tag 0689 D Apr 11, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 7, 2019
Tag 0692 D Apr 11, 2019

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: May 7, 2019
Tag 0693 D Apr 11, 2019

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: May 7, 2019
Tag 0698 D Apr 11, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: May 7, 2019
Tag 0755 D Apr 11, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: May 7, 2019
Tag 0811 E Apr 11, 2019

Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

✓ Corrected: May 7, 2019
Tag 0880 D Apr 11, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: May 7, 2019
Tag 0755 D Feb 25, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Mar 14, 2019
Tag 0580 D Feb 13, 2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Mar 4, 2019
Tag 0725 D Feb 13, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Mar 4, 2019
Tag 0760 D Feb 13, 2019

Ensure that residents are free from significant medication errors.

✓ Corrected: Mar 4, 2019
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2018 28 violations

Tag 0622 D Oct 3, 2018

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

✓ Corrected: Dec 7, 2018
Tag 0623 D Oct 3, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Dec 7, 2018
Tag 0626 D Oct 3, 2018

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

✓ Corrected: Dec 7, 2018
Tag 0725 D Oct 3, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Nov 1, 2018
Tag 0658 D Sep 21, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Oct 1, 2018
Tag 0760 D Sep 21, 2018

Ensure that residents are free from significant medication errors.

✓ Corrected: Oct 1, 2018
Tag 0600 G Aug 8, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Sep 7, 2018
Tag 0686 G Aug 8, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Sep 7, 2018
Tag 0604 D May 31, 2018

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Jun 14, 2018
Tag 0578 E Mar 16, 2018

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Apr 20, 2018
Tag 0583 E Mar 16, 2018

Keep residents' personal and medical records private and confidential.

✓ Corrected: Apr 20, 2018
Tag 0641 D Mar 16, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Apr 20, 2018
Tag 0657 D Mar 16, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Apr 20, 2018
Tag 0688 D Mar 16, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Apr 20, 2018
Tag 0689 D Mar 16, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 20, 2018
Tag 0695 D Mar 16, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Apr 20, 2018
Tag 0725 F Mar 16, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Apr 20, 2018
Tag 0732 C Mar 16, 2018

Post nurse staffing information every day.

✓ Corrected: Apr 13, 2018
Tag 0755 E Mar 16, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: May 7, 2018
Tag 0759 D Mar 16, 2018

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Apr 20, 2018

2017 15 violations

Tag 0312 D Oct 12, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

✓ Corrected: Oct 24, 2017
Tag 0315 D Oct 12, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

✓ Corrected: Oct 24, 2017
Tag 0353 F Oct 12, 2017

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

✓ Corrected: Oct 24, 2017
Tag 0323 D Aug 29, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Sep 5, 2017
Tag 0353 F Jul 5, 2017

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

✓ Corrected: Jul 6, 2017
Tag 0371 F Jul 5, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Jul 6, 2017
Tag 0223 D Jun 7, 2017

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

✓ Corrected: Jun 20, 2017
Tag 0225 D Jun 7, 2017

1) Hire only people with 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.

✓ Corrected: Jun 20, 2017
Tag 0226 D Jun 7, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: Jun 20, 2017
Tag 0166 C Feb 16, 2017

Try to resolve each resident's complaints quickly.

✓ Corrected: Mar 10, 2017
Tag 0312 D Feb 16, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

✓ Corrected: Mar 10, 2017
Tag 0315 D Feb 16, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

✓ Corrected: Mar 10, 2017
Tag 0363 E Feb 16, 2017

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.

✓ Corrected: Mar 10, 2017
Tag 0425 C Feb 16, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Mar 10, 2017
Tag 0441 D Feb 16, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Mar 10, 2017
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