Willowbrook Manor
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$147,365
Outcome
Willowbrook Manor in Flint, MI was fined $147,365 by CMS across 3 separate penalties following 46 deficiency citations identified during federal surveys.
Details
Willowbrook Manor (Flint, MI) — $147,365 in CMS Fines
Outcome: Willowbrook Manor in Flint, MI was fined $147,365 by CMS across 3 separate penalties following 46 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Provide safe, appropriate pain management for a resident who requires such services.
- 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 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.
- Provide enough food/fluids to maintain a resident's health.
- Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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