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Complaint Investigation

Willow Valley Center For Nursing And Rehabilitatio

July 2, 2024 · Winston-salem, NC · 1900 W 1st Street
Citations 1
CMS Rating 1/5
Beds 230
Provider ID 345092
Healthcare Facility
Willow Valley Center For Nursing And Rehabilitatio
Winston-salem, NC  ·  View full profile →
Inspection Summary

Willow Valley Center for Nursing and Rehabilitatio in Winston-Salem, NC — inspection on July 2, 2024.

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.

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Inspection Findings

FF550
Minimal harm or Few Based on record review, resident and staff interviews, the facility failed to complete and submit an Initial affected

Findings included:

Resident #209 was admitted to the facility on [DATE].

The 5-day Minimum Data Set (MDS) dated [DATE] revealed Resident #209 was cognitively intact and required substantial to max assistance with toileting.

Upon interviewing Resident #209 on 6-10-24 at 11:25am, the resident voiced feeling dirty, neglected, and angry being left in 3 briefs that were soiled and urine soaked while she ate her breakfast meal.

The Administrator was informed on 6-12-24 at 4:32pm by this surveyor of Resident #209's feelings of neglect, angry, and dirty' when the resident was left in 3 briefs, that were soiled, and urine soaked while she ate breakfast.

A telephone interview on 6-18-24 at 11:17AM with the Administrator stated she had not completed an Initial Allegation Report and they had investigated the situation.

She stated there had not been a resolution to the investigation as to why Resident #209 had on 3 briefs and not provided incontinence care.

She stated she had not reported the allegation as neglect to the state agency.

345092

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 345092 B.

Wing 07/02/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Willow Valley Center for Nursing and Rehab 1900 W 1st Street Winston-Salem, NC 27104

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 Winston-Salem, NC, (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 Willow Valley Center for Nursing and Rehabilitatio or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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