A list of the most recent deficiencies for Windsor Skyline Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-26 | 2024-02-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-26 | 2024-02-19 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-11-30 | 2023-12-13 | Y |
| 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. | Health | 2023-07-28 | 2023-08-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-28 | 2023-08-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-28 | 2023-08-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-28 | 2023-08-17 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-28 | 2023-08-17 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-07-28 | 2023-08-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-28 | 2023-08-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-28 | 2023-08-17 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-07-28 | 2023-08-17 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-07-28 | 2023-08-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-28 | 2023-08-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-28 | 2023-08-17 | N |
| Dispose of garbage and refuse properly. | Health | 2023-07-28 | 2023-08-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-28 | 2023-08-17 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-28 | 2023-08-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-28 | 2023-08-17 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-31 | 2023-08-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-31 | 2023-08-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-07-31 | 2023-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-31 | 2023-08-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-31 | 2023-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-31 | 2023-08-12 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-07-31 | 2023-08-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-31 | 2023-08-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-07-31 | 2023-08-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-31 | 2023-08-12 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-07-11 | 2023-07-28 | Y |
| Keep all essential equipment working safely. | Health | 2023-03-28 | 2023-04-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-17 | 2022-02-27 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-02-17 | 2022-02-27 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-07-23 | 2019-09-19 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-07-23 | 2019-09-19 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-07-23 | 2019-09-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-07-23 | 2019-09-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-23 | 2019-09-19 | N |
| Use approved construction type or materials. | Fire Safety | 2019-07-23 | 2019-09-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-23 | 2019-09-19 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-07-23 | 2019-09-19 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-07-23 | 2019-09-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-23 | 2019-09-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-23 | 2019-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-23 | 2019-09-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-23 | 2019-09-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-23 | 2019-09-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-23 | 2019-09-19 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-07-23 | 2019-09-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-26 | 2019-07-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-06-26 | 2019-07-18 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-06-26 | 2019-07-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-26 | 2019-07-18 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-06-26 | 2019-07-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-26 | 2019-07-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-26 | 2019-07-18 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-06-26 | 2019-07-18 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-06-26 | 2019-07-18 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-06-26 | 2019-07-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-26 | 2019-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-26 | 2019-07-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-23 | 2018-09-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-23 | 2018-09-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-23 | 2018-09-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-23 | 2018-09-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-23 | 2018-09-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-23 | 2018-09-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-23 | 2018-09-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-24 | 2018-06-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-05-24 | 2018-06-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-05-24 | 2018-06-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-24 | 2018-06-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-05-24 | 2018-06-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-24 | 2018-06-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-24 | 2018-06-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-24 | 2018-06-25 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-05-24 | 2018-06-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-24 | 2018-06-25 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-05-24 | 2018-06-25 | N |
| Dispose of garbage and refuse properly. | Health | 2018-05-24 | 2018-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-24 | 2018-06-25 | N |
