Willowbrook Manor
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
examination patient appeared to be very fatigued, lethargic, slightly diaphoretic as well has some notable pitting edema in his left upper extremity abdomen is soft nontender nondistended.Foley catheter in place shows significant sedimentation and appears to be cloudy as well.Patient is notably warm to touch.Endotracheal intubation was performed at bedside. The reason was secondary to acute hypoxic respiratory failure with inability to protect airway. he appeared to be quite altered and inability to maintain Sp02 sufficiently with 15 L nonrebreather.Assessment/Plan: Septic Shock.initial impression was septic shock likely secondary to UTI.with acute hypoxic respiratory failure.XR Chest 1 view Portable: Impression: Suspected right lower lobe pneumonia.Sepsis related to UTI +/-pneumonia.urine culture showing gram-negative rods. Blood culture from 11/4 reporting MRSE in 2/2 sets. Sputum culture grew Staph aureus.XXX[DATE REDACTED]: Assessment/Plan; 1. MRSA pneumonia; 2. Septic Shock.presented for fevers, hypoxia and decreased responsiveness. Sepsis criteria met with neutrophilic leukocytosis, tachycardia, tachypnea and fevers. Urine culture grew ES:, Klebsiella, patient has been on IV meropenem. Multiple attempts were made throughout the course of the investigation to contact Nurse F, to no avail. The facility attested they spoke with Nurse F on [DATE REDACTED] regarding the incident.The facility provided a document entitled, How to care for a urinary catheter, The documented stated, .Call for advice if: the urine.is dark or coffee colored, has solid bits in it. The document provided did not address the ongoing monitoring/assessment related to urinary catheters. According to the National Library of Medicine: Respiratory Assessment, .Inspection
during a focused respiratory assessment includes observation of level of consciousness, breathing rate, pattern and effort, skin color, chest configuration, and symmetry of expansion.Using the diaphragm of the stethoscope, listen to the movement of air through the airways during inspiration and expiration.
Event ID:
Facility ID:
If continuation sheet
Willowbrook Manor in Flint, MI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Flint, MI, (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 Willowbrook Manor or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.