WILLOWWOOD NURSING CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Willowwood Nursing Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

WILLOWWOOD NURSING CENTER
4595 CANTRELL ROAD
FLOWERY BRANCH, GA 30542
(770) 967-2070

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

92%

Number of Residents and Certified Beds

  • Residents: 92
  • Certified Beds: 100

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Buford | Gainesville | Cumming

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Willowwood Nursing Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-162.5%
Total Percent:2.5%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1617.4%
ADL Index Range: 6-103.2%
ADL Index Range: 0-545.4%
Total Percent:66.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-102.8%
ADL Index Range: 0-517.0%
Total Percent:19.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-53.2%
Total Percent:3.2%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-5
- No Signs of depression
7.4%
Total Percent:7.4%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- Signs of depression
1.1%
Total Percent:1.1%
 

Rating Details For Willowwood Nursing Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours9 Minutes1 Hour and 6 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours47 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 21 Minutes2 Hours and 29 Minutes
Total Licensed Nurse Hours56 Minutes1 Hour and 46 Minutes
Total Nurse Hours2 Hours and 17 Minutes4 Hours and 14 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Georgia are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityGeorgia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained13%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious26%15%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder57%51%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%10%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores1%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder1%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%13%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%2%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%88%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium3%4%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain18%16%
Percent of Short-Stay Residents Who Have Pressure Sores9%12%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 03/10/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/25/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/25/2008
Post Nurse Staffing Information.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/09/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/09/2009
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 03/10/2011
  • Correction Date: 03/22/2011

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/25/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/25/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/25/2008
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/09/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/09/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/09/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/09/2009
Have Enough Outside Airflow.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/09/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/10/2011
  • Correction Date: 03/22/2011
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 03/10/2011
  • Correction Date: 03/22/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/09/2009

Nutrition and Dietary

Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/25/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/24/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/09/2009
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/09/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/25/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/25/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/25/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/09/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/09/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/09/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/10/2011
  • Correction Date: 03/22/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/10/2011
  • Correction Date: 03/22/2011
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 03/10/2011
  • Correction Date: 03/22/2011

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/25/2008
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/25/2008
Provide a Final Summary of the Resident's Health Status and a Summary of the Resident's Stay, when the Resident is Ready to Leave the Nursing Home.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/09/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/10/2011
  • Correction Date: 03/22/2011
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 03/10/2011
  • Correction Date: 03/22/2011
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress.
  • Inspection Date: 03/10/2011
  • Correction Date: 03/22/2011

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 09/10/2008
  • Correction Date: 10/25/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/09/2009
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/09/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 10/14/2009
  • Correction Date: 12/09/2009
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death.
  • Inspection Date: 03/10/2011
  • Correction Date: 03/22/2011
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 03/10/2011
  • Correction Date: 03/22/2011

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)03/10/2011$1,560
Civil Money Penalty (CMP)03/10/2011$5,915
Civil Money Penalty (CMP)10/14/2009$9,230

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Willowwood Nursing Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/18/2008
  • Correction Date: 07/22/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 01/20/2009
  • Correction Date: 03/03/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/01/2010
  • Correction Date: 07/27/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 06/15/2009
  • Correction Date: 07/28/2009

Quality Care

Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 01/20/2009
  • Correction Date: 03/03/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 06/15/2009
  • Correction Date: 07/28/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 05/03/2010
  • Correction Date: 06/01/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 07/01/2010
  • Correction Date: 07/27/2010

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident.
  • Complaint Filed: 01/20/2009
  • Correction Date: 03/03/2009
Give the Resident's Legal Representative the Same Rights As the Resident.
  • Complaint Filed: 06/22/2010
  • Correction Date: 07/27/2010
Let the Resident or the Resident's Representative Look at All Records.
  • Complaint Filed: 06/22/2010
  • Correction Date: 07/27/2010
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 09/02/2010
  • Correction Date: 10/12/2010
Bill Properly: Charged Resident for Items That Medicare or Medicaid Pays For.
  • Complaint Filed: 09/02/2010
  • Correction Date: 10/12/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Willowwood Nursing Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 03/10/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/10/2011
  • Correction Date: 03/22/2011

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 03/10/2011
  • Correction Date: 03/22/2011
Source: Medicare Nursing Home Compare; Department of Human Resources of Georgia - Office of Regulatory Services - Retrieved 2011