Willow Gardens Care Center

455 31st Street
Marion, IA 52302
Linn County
Phone: 319-377-7363
Provider Number: 165171
Last Inspection: 08/06/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
91
Number of Residents
Number of
Residents
75
Number of Beds Available
Beds Available
16
Percent Occupancy
Percent Occupancy
82%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
Non profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • IA
  • USA
  • 16
  • 10
  • 12
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 16
  • 16
  • 23
Lower Numbers are Better

Details by Inspection Date

 

8/6/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 9/7/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 9/7/2015
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 9/7/2015
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 9/7/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 9/7/2015
 

5/29/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Pattern : Potential 3 7/1/2014
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 7/1/2014
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern : Minimal 4 7/1/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 7/1/2014
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 7/1/2014
 

3/7/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Isolated : Minimal 3 4/2/2013
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 4/2/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 4/2/2013
Failed To: Reasonably accommodate the needs and preferences of each resident. Pattern : Minimal 4 4/2/2013
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 4/2/2013
Failed To: 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. Isolated : Minimal 3 4/2/2013
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern : Minimal 4 4/2/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

12/30/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Immediate 5 12/30/2015
 

10/7/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 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. Isolated : Minimal 3 10/14/2015
 

9/10/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 10/8/2015
 

7/15/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep each resident free from physical restraints, unless needed for medical treatment. Isolated : Minimal 3 9/7/2015
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 9/7/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 9/7/2015
 

12/15/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 1/9/2015
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Minimal 3 1/9/2015
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 1/9/2015
 

2/4/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 unknown
 

9/16/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 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. Isolated : Minimal 3 unknown
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 unknown
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 unknown
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 unknown
 

4/17/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Actual 4 unknown

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg IA State Avg
Number of Residents 75 64.80 55.24
Registered Nurses 0.89 0.73 0.78
Licensed Practical / Vocational Nurses 0.65 0.60 0.60
Certified Nursing Assistants 2.09 2.25 2.35
Total Staff Hours 3.62 3.58 3.73

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% IA State Avg%
High Risk Long Stay Residents With Pressure Ulcers 7 4 3
Long Stay Residents Experiencing One or More Falls with Major Injury 3 3 3
Long Stay Residents Who Have Depressive Symptoms 5 3 5
Long Stay Residents Who Lose Too Much Weight 8 7 6
Long Stay Residents Who Received an Antipsychotic Medication 33 13 17
Long Stay Residents Who Self Report Moderate to Severe Pain 17 8 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 14 9 4
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 2 3 2
Long Stay Residents Who Were Physically Restrained 2 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 24 14 16
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3 3 4
Long Stay Residents With a Urinary Tract Infection 11 6 6
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 26 41 39
Short Stay Residents Who Newly Received an Antipsychotic Medication 1 1 1
Short Stay Residents Who Self Report Moderate to Severe Pain 29 17 17
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 27 12 13
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 24 18 15
Short Stay Residents With Pressure Ulcers That Are New or Worsened 1 2 1