THE LAURELS OF WILLOW CREEK
THE LAURELS OF WILLOW CREEK is a 120-bed nursing home in MIDLOTHIAN, Virginia. CMS has certified it for Medicare and Medicaid since 1991-09-24. It averages 112.0 residents a day.
What harm was found in the violations cited at THE LAURELS OF WILLOW CREEK?
CMS lists 54 health-inspection deficiencies for THE LAURELS OF WILLOW CREEK since 2019-03-14, 18 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2023-09-13.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2023-09-13 | F0656, F0697, F0755, F0757 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. | E |
| 2023-09-13 | F0550, F0580, F0585, F0641, F0658, F0676, F0686, F0695, F0698, F0700, F0725, F0800, F0812 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
| 2023-09-13 | F0732 | Post nurse staffing information every day. | C |
| 2022-03-24 | F0684, F0760 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that residents are free from significant medication errors. | G |
| 2022-03-24 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2022-03-24 | F0656, F0658, F0804, F0842 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2022-03-24 | F0550, F0561, F0641, F0645, F0655, F0657, F0686, F0695, F0757, F0909 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D |
| 2019-03-14 | F0584, F0695, F0812 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Provide safe and appropriate respiratory care for a resident when needed. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2019-03-14 | F0550, F0607, F0609, F0610, F0622, F0623, F0655, F0656, F0657, F0658, F0677, F0684, F0690, F0727, F0770, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide and implement an infection prevention and control program. | D |
How is THE LAURELS OF WILLOW CREEK staffed relative to the VA average?
| Measure | This facility | VA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.24214 | 3.75779 |
| Total nursing staff turnover (%) | 47.0 | 48.1 |
| Average number of residents per day | 112.0 | 99.5 |
Who owns THE LAURELS OF WILLOW CREEK, and what chain is it in?
THE LAURELS OF WILLOW CREEK is registered with CMS as For profit - Corporation, operates under the legal business name OAK HEALTH CARE INVESTORS OF RICHMOND VIRGINIA, INC. and belongs to the CIENA HEALTHCARE/LAUREL HEALTH CARE chain.
| Role | Owner | Association date |
|---|---|---|
| CORPORATE DIRECTOR | QAZI, MOHAMMAD | since 02/01/2016 |
| CORPORATE OFFICER | KHAN, ANIS, QAZI, MOHAMMAD, STOBB, DAVID | since 02/01/2016 |
| OPERATIONAL/MANAGERIAL CONTROL | LAUREL HEALTH CARE COMPANY, FELTY, DANNY, KHAN, ANIS, QAZI, MOHAMMAD, SHIVE, STACIE | since 01/01/2025 |
| ADP OF THE SNF | LAUREL HEALTH CARE COMPANY, SELECT REHABILITATION, LLC, FELTY, DANNY, KHAN, ANIS, SHIVE, STACIE, STOBB, DAVID | since 01/01/2025 |
Were you or a family member harmed at THE LAURELS OF WILLOW CREEK?