Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Willow Dale Wellness Village during CMS and state inspections, most recent first.
Failure to Update Care Plan for Cardiac Diagnoses and Medications: A resident’s comprehensive care plan did not include documented cardiac diagnoses or cardiac medications despite MDS and hospital records showing atrial fibrillation, HF, HTN, acute CHF, and hypoxemia. The MAR listed daily cardiac-related medications, but the care plan only addressed diuretic use related to edema. Interviews showed the DON, MDS Coordinator, and Regional Nurse Consultant had differing views on care planning requirements.
Medication administration errors caused the facility’s error rate to exceed the allowable threshold. During a med pass, an LPN administered Breo Ellipta to a resident without instructing mouth rinsing afterward and gave levothyroxine after breakfast even though the MAR directed it be given on an empty stomach. Review of ordered meds found two errors among 26 medications, for an overall error rate of 7.7%.
The facility failed to update care plans for three residents to include information on high-risk medications and their side effects. A resident with cancer, hypertension, and diabetes was on diuretics without side effect information in the care plan. Another resident with severe cognitive impairment was prescribed morphine, but the care plan lacked details on its usage and side effects. A third resident on anticoagulants also had an incomplete care plan. Interviews revealed reliance on a baseline care plan policy without subsequent updates.
Failure to Update Care Plan for Cardiac Diagnoses and Medications
Penalty
Summary
The facility failed to update the Comprehensive Care Plan for one resident reviewed for care planning. Resident #32’s annual MDS dated 8/31/25 documented diagnoses of atrial fibrillation, heart failure, and hypertension, and the quarterly MDS continued to list those diagnoses as active. The resident’s hospital records documented an acute congestive heart failure admission with hypoxemia, and later hospital notes documented another emergency department evaluation for back pain, abdominal pain, refusal to eat, acute on chronic congestive heart failure, and hypoxemia requiring IV diuretic medication. The resident’s December 2025 MAR documented daily orders for amlodipine, aspirin, furosemide, lisinopril, and metoprolol. However, the Comprehensive Care Plan reviewed on 12/10/25 did not identify any cardiac diagnoses or cardiac medications and only documented diuretic use related to edema. During interviews on 12/11/25, the DON stated the MDS Coordinator completes care plans and that certain medications are audited for care planning; the MDS Coordinator stated the resident’s primary diagnosis was not required to be on the care plan; and the Regional Nurse Consultant stated the Corporate Reimbursement Specialist reviews care plans and that any new diagnosis should be reviewed and added to the care plan.
Medication Error Rate Exceeded Allowable Threshold
Penalty
Summary
Medication administration errors resulted in the facility exceeding the allowable error rate of less than 5%. During observation of a medication pass for five residents, one resident had errors, and review of 26 ordered medications identified two errors for an overall error rate of 7.7%. The facility census was 29 residents. The observed errors involved Resident #25, for whom Staff A, an LPN, prepared and administered 12 medications during the morning medication pass. For Resident #25, Staff A administered Breo Ellipta inhalation medication but did not instruct the resident to rinse his mouth after use, even though the MAR included that instruction. Staff A also administered levothyroxine after the resident had already eaten breakfast, despite the MAR instruction to give it on an empty stomach. The Breo manufacturer information stated to rinse the mouth with water after use to reduce the chance of thrush, and the levothyroxine manufacturer information stated it should be given as a single daily dose on an empty stomach one-half to one hour before breakfast. The DON stated that all synthroid medications were scheduled with the morning medication pass per the Medical Director's approval, and the facility NP agreed to remove the empty-stomach wording from the levothyroxine order for Resident #25.
Failure to Update Care Plans for High-Risk Medications
Penalty
Summary
The facility failed to revise and update care plans to address high-risk medications and their side effects for three residents. Resident #20, with diagnoses of cancer, hypertension, and diabetes mellitus, was taking diuretic medications, spironolactone and furosemide, but the care plan lacked information on the side effects of these medications. Resident #21, who had severe cognitive impairment and was diagnosed with hypertension, depression, and low back pain, was prescribed morphine sulfate, an opioid pain medication, yet the care plan did not include information on its usage and side effects. Resident #22, with no cognitive impairment and conditions including hypertension, orthostatic hypotension, and edema, was taking the anticoagulant medication Eliquis. However, the care plan did not address the side effects of this medication. Interviews with the Co-Director of Nursing revealed that the facility only had a baseline care plan policy and followed the RAI manual thereafter, indicating a gap in updating care plans with necessary medication information.
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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 Battle Creek
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Samaritan - Holstein | 12.2 mi | ★★★★★ | 13 | 0 |
| Correctionville Specialty Care | 14.7 mi | ★★★★★ | 13 | 0 |
| Maple Heights | 15.1 mi | ★★★★★ | 17 | 0 |
| Odebolt Specialty Care | 18 mi | ★★★★★ | 3 | 0 |
| Denison Care Center | 23.7 mi | ★★★★★ | 2 | 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 July 2026) and official state health department websites.