Deficiency Records for Windsor Woods Rehab and Healthcare Center
Updated as of November 01, 2021
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? |
|---|---|---|---|---|
| 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 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-14 | 2020-11-13 | N |
| 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 |
| 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 |
| 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 |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-11-06 | 2017-12-09 | N |
