Deficiency Records for Windsor Health and Rehabilitation Center, LLC
Updated as of April 01, 2020
This is not the most recent data for Windsor Health and Rehabilitation Center, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Windsor Health and Rehabilitation Center, LLC. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-11 | 2019-08-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-11 | 2019-08-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-11 | 2019-08-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-11 | 2019-08-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-11 | 2019-08-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-07-11 | 2019-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-11 | 2019-08-20 | N |
| Dispose of garbage and refuse properly. | Health | 2019-07-11 | 2019-08-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-07-11 | 2019-08-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-11 | 2019-08-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-11 | 2019-08-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-11 | 2019-08-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-03 | 2019-08-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-05 | 2018-11-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-05 | 2018-11-15 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-05-17 | 2018-07-17 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-05-17 | 2018-07-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-05-17 | 2018-07-17 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-05-17 | 2018-07-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-18 | 2018-06-29 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2018-05-18 | 2018-06-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-18 | 2018-06-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-18 | 2018-06-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-18 | 2018-06-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-18 | 2018-06-29 | 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 | 2018-05-18 | 2018-03-28 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-02 | 2017-07-10 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-02 | 2017-07-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-02 | 2017-07-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-02 | 2017-07-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-02 | 2017-07-10 | N |
