Deficiency Records for Winding Trails Post Acute
Updated as of August 01, 2021
This is not the most recent data for Winding Trails Post Acute. For the most recent information, click here.
A list of the most recent deficiencies for Winding Trails Post Acute. 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 a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-02-01 | 2021-04-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-01 | 2021-04-29 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-02-01 | 2021-04-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-02-01 | 2021-04-29 | Y |
| 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 | 2021-02-01 | 2021-04-29 | Y |
| Construct fire resistant interior walls. | Fire Safety | 2021-02-02 | 2021-03-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-02 | 2021-03-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-02-02 | 2021-03-18 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-02-01 | 2021-03-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-02-01 | 2021-03-17 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-02-01 | 2021-03-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-02-01 | 2021-03-17 | 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 | 2021-02-01 | 2021-03-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-02-01 | 2021-03-17 | 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 | 2021-02-01 | 2021-03-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-02-01 | 2021-03-17 | N |
| Respond appropriately to all alleged violations. | Health | 2021-02-01 | 2021-03-17 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-02-01 | 2021-03-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-02-01 | 2021-03-17 | N |
| Provide activities to meet all resident's needs. | Health | 2021-02-01 | 2021-03-17 | 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 | 2021-02-01 | 2021-03-17 | 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 | 2021-02-01 | 2021-03-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-01 | 2021-03-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-02-01 | 2021-03-17 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2021-02-01 | 2021-03-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-02-01 | 2021-03-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-02-01 | 2021-03-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-02-01 | 2021-03-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-01 | 2021-03-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-01 | 2021-03-17 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-02-01 | 2021-03-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-02-01 | 2021-03-17 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-02-01 | 2021-03-17 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-02-02 | 2021-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-02 | 2021-02-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-02 | 2021-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-08-06 | 2020-10-23 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-08-06 | 2020-09-11 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-08-06 | 2020-09-11 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-08-06 | 2020-09-11 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2020-08-06 | 2020-09-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-05-18 | 2020-06-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-18 | 2020-03-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-18 | 2020-03-19 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-02-18 | 2020-03-19 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-10 | 2019-04-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-10 | 2019-04-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-10 | 2019-04-25 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-04-10 | 2019-04-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-26 | 2019-04-24 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-03-26 | 2019-04-24 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-03-26 | 2019-04-24 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-26 | 2019-04-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-26 | 2019-04-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-26 | 2019-04-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-26 | 2019-04-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-09 | 2019-02-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-09 | 2019-02-12 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-11 | 2017-11-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-10-11 | 2017-11-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-11 | 2017-11-04 | N |
