The Laurels Of Willow Creek faces challenges in its CMS ratings, earning a D grade with a score of 46/100. The facility ranks in the 38th percentile among Virginia nursing homes, suggesting significant room for improvement.
With 3.22 total nurse hours per resident per day, The Laurels Of Willow Creek falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 54 deficiencies at The Laurels Of Willow Creek. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.22 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.41 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.89 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.93 | 2.4 | Below Average |
| Weekend Total Nursing | 2.88 | 3.8 | Below Average |
| Weekend RN Hours | 0.27 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Sep 12, 2023 · Resident Assessment and Care Planning Deficiencies
- Tag 0697 Severity EProvide safe, appropriate pain management for a resident who requires such services.Sep 12, 2023 · Quality of Life and Care Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Sep 12, 2023 · Pharmacy Service Deficiencies
- Tag 0757 Severity EEnsure each resident’s drug regimen must be free from unnecessary drugs.Sep 12, 2023 · Pharmacy Service Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Sep 12, 2023 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 8.7% | 4.5% | Worse |
| Falls with major injury | 1.6% | 3.0% | Better |
| On antipsychotic medication | 13.3% | 14.5% | Average |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 11.4% | 14.0% | Better |
| Excessive weight loss | 7.9% | 7.5% | Average |
| New/worsened incontinence | 23.1% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 46 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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