WILLOWDALE VILLAGE

DALE, IN · 50 beds · For profit - Corporation

100 Trust Score
Grade: A+ LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 4-star health inspection rating
  • 4-star staffing rating
  • Below-average deficiency count (2 vs 8 state avg)
  • No fines or penalties on record
  • Above-average RN staffing (0.86 hrs vs 0.61 state avg)

Quick Facts

★★★★★
CMS Overall
★★★★☆
Health Inspection
2
0.3x state avg
Deficiencies
$0
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

December 15, 2024

4 deficiencyies
F0727 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

Show details

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0727 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

Show details

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

December 20, 2023

6 deficiencyies
F0657 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

Show details

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F0849 Potential Harm Scope/Severity: D

Administration Deficiencies

Show details

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

F0657 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

Show details

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F0849 Potential Harm Scope/Severity: D

Administration Deficiencies

Show details

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

June 27, 2023

2 deficiencyies
F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

See full violation history →

Staffing

0.86
RN hrs/res/day
0.67
LPN hrs/res/day
1.98
CNA hrs/res/day
2.70
Weekend hrs/res/day
38%
Total nurse turnover
20%
RN turnover

A nurse checks on each resident roughly every 6.8 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Corporation Chain: AMERICAN SENIOR COMMUNITIES
  • THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 07/01/2015

    100% Organization
  • AMERICAN SENIOR COMMUNITIES LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2003

    Organization
  • DENTON, KRISTY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 05/19/2022

    Individual
  • STEPHENS, RACHEL

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/06/2018

    Individual
  • DRUMMER, CARL

    CORPORATE DIRECTOR

    Since since 01/01/2017

    Individual
  • FEHRIBACH, GREGORY

    CORPORATE DIRECTOR

    Since since 12/14/2004

    Individual
  • HANIFY, THOMAS

    CORPORATE DIRECTOR

    Since since 01/01/2022

    Individual
  • LAZARD, ROBERT

    CORPORATE DIRECTOR

    Since since 01/29/2021

    Individual
  • MANTRAVADI, GEETA

    CORPORATE DIRECTOR

    Since since 07/21/2021

    Individual
  • MUKES-GAITHER, BEVERLY

    CORPORATE DIRECTOR

    Since since 01/01/2022

    Individual
  • PAYNE, MONICA

    CORPORATE DIRECTOR

    Since since 08/09/2021

    Individual
  • BABCOCK, PAUL

    CORPORATE OFFICER

    Since since 09/30/2020

    Individual
  • CAINE, VIRGINIA

    CORPORATE OFFICER

    Since since 01/10/1994

    Individual
  • HARRIS, LISA

    CORPORATE OFFICER

    Since since 12/22/2003

    Individual
  • KELSEY, DONNA

    CONTRACTED MANAGING EMPLOYEE

    Since since 06/01/2019

    Individual
  • VAN CAMP, STEVEN

    CONTRACTED MANAGING EMPLOYEE

    Since since 09/06/2019

    Individual

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