Willard Care Center
WILLARD CARE CENTER in WILLARD, MO — inspection on November 14, 2025.
Found 1 citation. 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.
Inspection Findings
A.M., LPN B said that when a resident had a change in health condition, falls, or new physician orders the nursing staff should notify the family or responsible party and the nurse should document in the progress note who was contacted. If hospice noted the change in condition, the facility nurse should still contact the resident's contact person and document.
During an interview on [DATE], at 12:15 P.M., the MDS Coordinator said staff should notify the charge nurse of any resident change in condition.
The nurse should assess and notify the physician and follow any new orders.
The nurse should contact the family of any and all changes, even if the resident was their own person or on hospice, the family should be notified. If there was a non-injury 3:00 A.M. fall the family may not be notified until the morning if they requested but this should be documented. Resident #2 had multiple falls, but staff should document family contact with each fall and document the contact.
The staff should contact Resident #1's family for all changes including medication changes.
During an interview on [DATE], at 11:00 A.M., the DON said she did not find a specific policy related to notification of resident family or responsible party about change in health condition, but it was included in the resident rights.
The nursing staff should notify the physician and family of health changes and resident falls. If there are new medication orders the nursing staff should contact the family.
The nursing staff should document all contact with family in the progress notes.
All families should be contacted regardless of resident cognitive status, unless there were previous plans made with the emergency contact, or the resident did not have an emergency contact. If it was not charted it was not done. Resident #2 had multiple falls, and family should have been contacted after each fall. Resident #1's family should have been contacted about medication changes or new orders.
Staff should be documenting contact with resident family members.
During an interview on [DATE], at 12:10 P.M., the Administrator said that the facility staff should notify the charge nurse of falls and any change in health condition.
Hospice should also notify the facility nurse of change in condition.
The nurse should evaluate the resident and let the DON and physician know of change of health.
The nurse should notify the family of health condition changes, falls, and new orders including medication orders within the first few hours of the change condition, this is for all residents.
The nursing staff should make a progress note that identifies who was notified.
Resident # 2 family should be contacted each time that he/she had a fall, and it should be documented they were contacted. Resident #4, the family should be contacted for change in health condition and the information should be documented. Resident #1 family should be notified of medication changes and information documented. Resident #3 family should be notified of change of health and information should be documented.Complaint 2665069
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