Deficiency Records for Windsor Woods Rehab and Healthcare Center
Updated as of March 01, 2018
This is not the most recent data for Windsor Woods Rehab and Healthcare Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-11-06 | 2017-12-09 | N |
| Provide housekeeping and maintenance services. | Health | 2017-11-09 | 2017-12-09 | N |
| Maintain comfortable sound levels. | Health | 2017-11-09 | 2017-12-09 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-11-09 | 2017-12-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-09 | 2017-12-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-09 | 2017-12-09 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-04-20 | 2017-05-11 | Y |
| Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. | Health | 2017-04-20 | 2017-05-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-27 | 2017-03-27 | Y |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-08-08 | 2016-09-11 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-08-11 | 2016-09-11 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-08-11 | 2016-09-11 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-08-11 | 2016-09-11 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2016-08-11 | 2016-09-11 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-08-11 | 2016-09-11 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-08-11 | 2016-09-11 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-08-11 | 2016-09-11 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-08-11 | 2016-09-11 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-08-11 | 2016-09-11 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-11 | 2016-09-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-11 | 2016-09-11 | N |
| Keep all essential equipment working safely. | Health | 2016-08-11 | 2016-09-11 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-04-13 | 2015-05-16 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-04-13 | 2015-05-16 | N |
| Give notice to the resident before a room or roommate change. | Health | 2015-04-16 | 2015-05-16 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-04-16 | 2015-05-16 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2015-04-16 | 2015-05-16 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-04-16 | 2015-05-16 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-04-16 | 2015-05-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-04-16 | 2015-05-16 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-04-16 | 2015-05-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-04-16 | 2015-05-16 | N |
