Champions Healthcare at Willowbrook

2025 · 12 cited

1. The facility failed to obtain an inspection by the fire marshal every year and to keep documentation showing the outcome of the last inspection.

   Life Safety CodeCited Nov 18, 2025Corrected —

2. The facility failed to conduct required fire drills and document fire drills on the required form.

   Life Safety CodeCited Nov 18, 2025Corrected —

3. The facility failed to post an emergency evacuation floor plan where it was visible to residents.

   Life Safety CodeCited Nov 18, 2025Corrected —

4. The facility failed to ensure the sensitivity of smoke detectors was checked according to NFPA 72.

   Life Safety CodeCited Nov 18, 2025Corrected —

5. The facility failed to ensure means of egress met the referenced codes and standards.

   Life Safety CodeCited Nov 18, 2025Corrected —

6. The facility failed to ensure resident room doors would latch in their frames.

   Life Safety CodeCited Nov 18, 2025Corrected —

7. The facility failed to provide smoke compartmentation where required.

   Life Safety CodeCited Nov 18, 2025Corrected —

8. The facility failed to provide portable fire extinguishers that met the referenced codes and standards.

   Life Safety CodeCited Nov 18, 2025Corrected —

9. The facility failed to provide hot water with a temperature between 100 and 120 degrees F for lavatories and bathing units.

   Life Safety CodeCited Nov 18, 2025Corrected —

10. The facility failed to provide the minimum levels of illumination required in the facility.

    Life Safety CodeCited Nov 18, 2025Corrected —

11. The facility failed to review the plan at least annually to reflect changes in information, within 30 days following a disaster, within 30 days after a drill, and within 30 days after a change in rule or policy.

    Life Safety CodeCited Nov 18, 2025Corrected —

12. The facility failed to either assess a resident or to develop, approve, sign, or follow a service plan within the allowable time.

    Health VisitCited Jul 11, 2025Corrected —