Deficiency Records for Windsor Country Drive Care Center
Updated as of July 01, 2019
This is not the most recent data for Windsor Country Drive Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Windsor Country Drive 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 | 2019-05-22 | 2019-06-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-17 | 2019-05-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-21 | 2019-04-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-21 | 2019-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-21 | 2019-04-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-21 | 2019-04-30 | 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 | 2019-03-21 | 2019-04-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-21 | 2019-04-30 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-03-21 | 2019-04-30 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-03-21 | 2019-04-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-21 | 2019-04-30 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-03-21 | 2019-04-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-21 | 2019-04-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-03-21 | 2019-04-30 | N |
| 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 schedul | Health | 2019-03-21 | 2019-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-21 | 2019-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-21 | 2019-04-30 | N |
| Keep all essential equipment working safely. | Health | 2019-03-21 | 2019-04-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-12 | 2019-04-16 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-11-20 | 2018-11-29 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-17 | 2018-06-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-17 | 2018-06-17 | N |
| Provide appropriate foot care. | Health | 2018-05-17 | 2018-06-17 | 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 | 2018-05-17 | 2018-06-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-04-04 | 2018-05-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-04-04 | 2018-05-04 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-04-04 | 2018-05-04 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-05-25 | 2017-06-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-25 | 2017-06-20 | N |
| Dispose of garbage and refuse properly. | Health | 2017-05-25 | 2017-06-20 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-25 | 2017-06-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-25 | 2017-06-20 | N |
| Keep all essential equipment working safely. | Health | 2017-05-25 | 2017-06-20 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2017-05-25 | 2017-06-20 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-25 | 2017-06-20 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-05-25 | 2017-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-06 | 2017-02-27 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-12-30 | 2017-01-17 | Y |
