Deficiency Records for Windsor Hampton Care Center
Updated as of October 01, 2021
This is not the most recent data for Windsor Hampton Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Windsor Hampton 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-08-09 | 2021-09-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-09 | 2021-09-11 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-07-23 | 2021-08-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-23 | 2021-08-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-23 | 2021-05-21 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-04-23 | 2021-05-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-10 | 2021-03-29 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-01-14 | 2021-02-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-11-05 | 2020-12-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-09 | 2020-09-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-09-03 | 2020-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-08-25 | 2020-09-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-01-15 | 2020-01-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-30 | 2019-11-13 | Y |
| Keep all essential equipment working safely. | Health | 2019-09-30 | 2019-11-13 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-27 | 2019-10-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-27 | 2019-10-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-27 | 2019-10-09 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-09-27 | 2019-10-09 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-09-27 | 2019-10-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-02 | 2019-09-06 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2019-05-24 | 2019-06-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-24 | 2019-06-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-24 | 2019-06-20 | 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 | 2019-05-24 | 2019-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-24 | 2019-06-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-24 | 2019-06-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-24 | 2019-06-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-24 | 2019-06-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-05 | 2019-05-01 | 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 | 2019-04-05 | 2019-05-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-05 | 2019-05-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-17 | 2019-05-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-13 | 2019-03-08 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2018-03-29 | 2018-04-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-29 | 2018-04-23 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-03-29 | 2018-04-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-29 | 2018-04-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-29 | 2018-04-23 | 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 | 2018-03-29 | 2018-04-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-29 | 2018-04-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-04-04 | 2018-04-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-04 | 2018-04-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-04 | 2018-04-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-04-04 | 2018-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-04 | 2018-04-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-04-04 | 2018-04-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-04 | 2018-04-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-04 | 2018-04-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-04 | 2018-04-17 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-04-04 | 2018-04-17 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-17 | 2017-04-25 | N |
| Completely assess the resident at least every twelve months. | Health | 2017-03-17 | 2017-04-25 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2017-03-17 | 2017-04-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-17 | 2017-04-25 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-03-17 | 2017-04-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-17 | 2017-04-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-17 | 2017-04-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-03-22 | 2017-04-13 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-03-22 | 2017-04-13 | N |
