Deficiency Records for Windsor Woods Rehab and Healthcare Center
Updated as of November 01, 2020
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? |
|---|---|---|---|---|
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-02-13 | 2020-03-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-02 | 2019-10-23 | Y |
| 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 |
| 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 |
| 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 |
| 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 |
