A list of the most recent deficiencies for Windsor Rosewood 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 each resident receives an accurate assessment. | Health | 2023-09-28 | 2023-10-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-28 | 2023-10-19 | 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 | 2023-09-28 | 2023-10-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-28 | 2023-10-19 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-09-28 | 2023-10-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-09-29 | 2023-10-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-29 | 2023-10-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-29 | 2023-10-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-29 | 2023-10-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-29 | 2023-10-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-29 | 2023-10-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-29 | 2023-10-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-09 | 2022-12-28 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-04-27 | 2021-06-02 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2020-08-20 | 2020-09-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-08-20 | 2020-09-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-08-20 | 2020-09-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-08-20 | 2020-09-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-08-20 | 2020-09-14 | N |
| 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 | 2020-03-12 | 2020-04-10 | 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 | 2020-03-12 | 2020-04-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-03-12 | 2020-04-10 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-03-12 | 2020-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-12 | 2020-04-10 | N |
| Provide appropriate foot care. | Health | 2020-03-12 | 2020-04-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-12 | 2020-04-10 | 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 | 2020-03-12 | 2020-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-12 | 2020-04-10 | N |
| Dispose of garbage and refuse properly. | Health | 2020-03-12 | 2020-04-10 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2020-03-12 | 2020-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-12 | 2020-04-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-03-12 | 2020-04-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-01 | 2019-05-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-01 | 2019-05-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-05-01 | 2019-05-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-01 | 2019-05-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-01 | 2019-03-01 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-02-01 | 2019-03-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-01 | 2019-03-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-01 | 2019-03-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-01 | 2019-03-01 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-02-01 | 2019-03-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-01 | 2019-03-01 | 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 | 2019-02-01 | 2019-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-01 | 2019-03-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-01 | 2019-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-01 | 2019-03-01 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-02-01 | 2019-03-01 | N |
