Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Willow Ridge Nursing And Rehabilitation Center,llc during CMS and state inspections, most recent first.
A resident with multiple diagnoses, including dementia and anxiety, was admitted to hospice per physician's orders, but the facility did not develop or implement a care plan addressing hospice care. This lack of a hospice care plan was confirmed by both an LPN and the DON during interviews.
A resident with multiple chronic conditions was started on oxygen therapy, but the responsible party was not notified of this change. The LPN who initiated the oxygen confirmed the lack of notification, and the DON acknowledged the omission.
A facility failed to ensure a resident remained free from accident hazards by not investigating incidents involving a laptray on a gerichair. Despite the resident's high fall risk and frequent removal of the laptray, no incident reports were completed, and the laptray continued to be used. Staff acknowledged the resident's behavior, but the care plan did not reflect these incidents, leading to a deficiency.
A resident with severe cognitive impairment was observed using a geri chair as a restraint without a properly completed Physical Restraint Informed Consent. The form lacked documentation of alternative approaches, consent indication, and staff completion details. The DON confirmed these omissions.
A resident with intact cognition felt embarrassed after a CNA discussed his private parts and incontinence issues in front of other staff members outside the facility. The incident was confirmed by a former wound care nurse and reported by the resident's sister, leading to acknowledgment by the executive director of the breach of the resident's rights to dignity and privacy.
Failure to Develop Hospice Care Plan for Resident
Penalty
Summary
The facility failed to develop and implement a care plan addressing hospice care for one resident who had been admitted to hospice. Record review showed that the resident, who had diagnoses including unspecified dementia, psychotic disturbance, anxiety, and senile degeneration of the brain, was admitted to hospice per physician's orders. However, the comprehensive plan of care did not include any problems or approaches related to hospice care. This omission was confirmed during interviews with both an LPN and the DON, who acknowledged that a hospice plan of care should have been initiated when the resident was placed on hospice.
Failure to Notify Responsible Party of Change in Condition
Penalty
Summary
The facility failed to notify a resident's responsible party (RP) of a significant change in the resident's condition, specifically the initiation of oxygen therapy. The resident, admitted with diagnoses including senile degeneration of the brain, unspecified dementia with agitation, anxiety disorder, hypertension, osteoarthritis, and unspecified pain, was started on 3.5 liters of oxygen via nasal cannula as documented in a progress note. Review of the medical record did not show evidence that the RP was informed of this change. Interviews confirmed that the LPN who initiated the oxygen did not notify the RP, and the DON acknowledged that notification should have occurred. The RP also reported not being informed about the initiation of oxygen therapy.
Failure to Address Laptray Safety Hazard
Penalty
Summary
The facility failed to ensure that a resident remained as free from accident hazards as possible, specifically regarding the use of a laptray on a gerichair. Resident #92, who was admitted with diagnoses including restlessness, agitation, and unspecified dementia, was observed multiple times in a gerichair with a laptray. Despite being at high risk for falls, the facility did not conduct thorough investigations after incidents involving the resident's laptray, nor did they document these incidents in the Incident/Accident report log. Observations and interviews revealed that the resident frequently removed the laptray and attempted to crawl out of the gerichair, indicating a potential safety hazard. Staff members, including LPNs and CNAs, acknowledged that the resident had previously slipped under the laptray and continued to remove it. However, no incident reports were completed, and the facility continued to use the laptray despite these occurrences. The facility's failure to document and investigate these incidents was confirmed by the Director of Nursing and the Clinical Operations Consultant. The resident's care plan did not reflect the incidents involving the laptray, and there was no evidence of interventions to address the resident's behavior of sliding out of the gerichair. This lack of documentation and continued use of the laptray without proper investigation contributed to the deficiency.
Incomplete Physical Restraint Informed Consent for Resident
Penalty
Summary
The facility failed to have a completed Physical Restraint Informed Consent for a resident who was observed using a geri chair as a restraint. The resident, who had severe cognitive impairment and required extensive assistance with all activities of daily living, was admitted with multiple diagnoses including essential hypertension, seizures, and hemiplegia following a cerebral infarction. Observations revealed the resident was placed in a geri chair with the head and lower extremities elevated, and the facility had an order to monitor the resident in this position due to poor body control related to a cerebrovascular accident. Upon review, it was found that the Physical Restraint Informed Consent form was incomplete. The section for least restrictive, alternative non-restraint approaches was left blank, and the consent section was not marked to indicate whether the responsible party consented or did not consent to the use of the restraint. Additionally, the form lacked the name and relationship of the representative, as well as the staff member who completed the form. The Director of Nursing confirmed these omissions and acknowledged that the form was not properly completed.
Breach of Resident Privacy and Dignity
Penalty
Summary
The facility failed to uphold the dignity and privacy of a resident by allowing a staff member to discuss the resident's private medical condition in a public setting. The incident involved a resident with intact cognition, who had a history of cardiovascular accident, diabetes, and other chronic conditions. The resident reported feeling embarrassed and sad after a certified nursing assistant (CNA) discussed the size of his private parts and incontinence issues in front of other female staff members while the resident was outside the facility. The CNA admitted to making comments about the resident's private parts in the presence of other staff members, which was confirmed by a former wound care nurse who witnessed the conversation. The resident's sister, who is also a CNA, found the resident visibly upset after the incident and reported it to the director of nurses. The facility's executive director acknowledged that the CNA should not have discussed the resident's private matters in a public setting, indicating a breach of the resident's rights to dignity and privacy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Arcadia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Leslie Lakes Retirement Center | 0.5 mi | — | 1 | 0 |
| Alpine Skilled Nursing And Rehabilitation | 13.4 mi | — | 6 | 0 |
| Presbyterian Village Of Homer | 16.5 mi | — | 0 | 0 |
| Princeton Place-ruston | 16.6 mi | — | 6 | 0 |
| Ruston Nursing And Rehabilitation Center, Llc | 20.4 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.