Deficiency Records for Windsor Woods Rehab and Healthcare Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Windsor Woods Rehab and Healthcare 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-04 | 2022-09-04 | 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 | 2022-08-04 | 2022-09-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-04 | 2022-08-28 | N |
| Provide activities to meet all resident's needs. | Health | 2022-08-04 | 2022-08-27 | 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 | 2022-08-04 | 2022-08-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-04 | 2022-08-27 | N |
| Keep all essential equipment working safely. | Health | 2022-08-04 | 2022-08-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-04 | 2022-08-27 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-08-04 | 2022-08-27 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-08-04 | 2022-08-27 | Y |
| Meet other general requirements. | Fire Safety | 2022-08-02 | 2022-08-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-02 | 2022-08-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-02 | 2022-08-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-03-26 | 2021-04-26 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-03-26 | 2021-04-26 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-23 | 2021-04-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-02-22 | 2019-03-22 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-02-22 | 2019-03-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-02-21 | 2019-03-22 | N |
| Meet other general requirements. | Fire Safety | 2019-02-21 | 2019-03-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-21 | 2019-03-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-21 | 2019-03-22 | N |
