Deficiency Records for Windsor Gardens Conv Center of San Diego
Updated as of August 01, 2019
This is not the most recent data for Windsor Gardens Conv Center of San Diego. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2019-06-18 | 2019-07-18 | Y |
| Provide appropriate foot care. | Health | 2019-06-18 | 2019-07-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-09 | 2019-05-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-09 | 2019-05-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-09 | 2019-05-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-09 | 2019-05-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-22 | 2019-03-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-01-08 | 2019-01-31 | Y |
| 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 |
| 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 ne | 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-21 | 2018-01-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-08-31 | 2017-09-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-31 | 2017-09-25 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-31 | 2017-09-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-31 | 2017-09-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-31 | 2017-09-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-31 | 2017-09-25 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-08-31 | 2017-09-25 | N |
| Provide timely notification to the resident before transfer or discharge. | Health | 2016-11-04 | 2016-11-18 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-05-13 | 2016-06-24 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-05-13 | 2016-06-24 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-05-13 | 2016-06-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-13 | 2016-06-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-13 | 2016-06-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-05-13 | 2016-06-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-05-13 | 2016-06-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-05-13 | 2016-06-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-05-13 | 2016-06-24 | N |
| A written emergency evacuation plan. | Fire Safety | 2016-05-17 | 2016-06-06 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-05-17 | 2016-06-06 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-05-17 | 2016-06-06 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-05-17 | 2016-06-06 | N |
