Deficiency Records for Windsor Gardens Conv Center of San Diego
Updated as of March 01, 2024
A list of the most recent deficiencies for Windsor Gardens Conv Center of San Diego. 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? |
|---|---|---|---|---|
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-04 | 2023-01-25 | 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 | 2022-09-22 | 2022-10-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-09-22 | 2022-10-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-22 | 2022-10-22 | 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 | 2022-09-22 | 2022-10-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-22 | 2022-10-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-22 | 2022-10-22 | Y |
| 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 | 2022-09-19 | 2022-10-19 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-28 | 2022-10-17 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-09-28 | 2022-10-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-09-28 | 2022-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-28 | 2022-10-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-28 | 2022-10-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-09-28 | 2022-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-13 | 2022-09-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-11 | 2022-04-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-13 | 2022-02-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-01-13 | 2022-02-15 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-11-05 | 2019-11-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-05 | 2019-11-19 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-11-05 | 2019-11-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-05 | 2019-11-19 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-10-11 | 2019-11-01 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-10-11 | 2019-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-11 | 2019-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-11 | 2019-11-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-11 | 2019-11-01 | 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 | 2019-10-11 | 2019-11-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-10-11 | 2019-11-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-11 | 2019-11-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-11 | 2019-11-01 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-12-20 | 2019-01-07 | N |
| Develop a communication plan. | Fire Safety | 2018-12-20 | 2019-01-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-12-20 | 2019-01-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-12-20 | 2019-01-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-20 | 2019-01-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-20 | 2019-01-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-20 | 2019-01-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-20 | 2019-01-07 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-10-04 | 2018-11-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-04 | 2018-11-17 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-10-04 | 2018-11-17 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-10-04 | 2018-11-17 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-04 | 2018-11-17 | N |
| Provide appropriate foot care. | Health | 2018-10-04 | 2018-11-17 | 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 | 2018-10-04 | 2018-11-17 | 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 | 2018-10-04 | 2018-11-17 | 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 | 2018-10-04 | 2018-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-04 | 2018-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-04 | 2018-11-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-10-04 | 2018-11-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-10-04 | 2018-11-17 | N |
