CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Windsor Health and Rehabilitation Center
View the most recent health deficiencies and inspection results for Windsor Health and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Windsor Health and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-12-30 | 2026-02-10 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2025-04-17 | 2025-05-13 | N |
| Meet other general requirements. | Fire Safety | 2025-04-17 | 2025-05-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-04-17 | 2025-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-17 | 2025-05-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-17 | 2025-05-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-04-17 | 2025-05-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-17 | 2025-05-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-17 | 2025-05-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-03 | 2024-10-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-01 | 2024-03-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-01 | 2024-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-01 | 2024-03-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-01 | 2024-03-21 | 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 | 2024-02-01 | 2024-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-01 | 2024-03-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-01 | 2024-03-21 | N |
| Keep all essential equipment working safely. | Health | 2024-02-01 | 2024-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-01 | 2024-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-11 | 2022-09-20 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-08-11 | 2022-09-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-11 | 2022-09-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-11 | 2022-09-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-11 | 2022-09-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Develop a communication plan. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Establish methods for sharing information. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Provide hallway or ground-level exits in all residents' rooms. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-11 | 2022-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-11 | 2022-09-20 | N |