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Deficiency Records for Covenant Living - Windsor Park
View the most recent health deficiencies and inspection results for Covenant Living - Windsor Park. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Covenant Living - Windsor Park. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-03 | 2025-06-11 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-28 | 2025-04-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-02-28 | 2025-03-26 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2025-02-28 | 2025-03-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-28 | 2025-03-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-02-28 | 2025-03-25 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-02-28 | 2025-03-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-02-28 | 2025-03-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-28 | 2025-03-10 | 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 | 2025-02-28 | 2025-03-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-02-28 | 2025-03-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-02-28 | 2025-03-10 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-02-28 | 2025-03-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-19 | 2024-05-24 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-04-19 | 2024-05-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-19 | 2024-05-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-19 | 2024-05-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-19 | 2024-05-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-04-19 | 2024-05-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-04-19 | 2024-05-24 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-04-19 | 2024-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-19 | 2024-05-03 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-04-19 | 2024-05-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-19 | 2024-05-03 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-04-19 | 2024-05-03 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-04-19 | 2024-05-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-25 | 2023-09-06 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-07-17 | 2023-08-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-17 | 2023-08-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-17 | 2023-08-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-07-17 | 2023-08-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-17 | 2023-07-24 | 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 | 2023-07-17 | 2023-07-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-17 | 2023-07-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-17 | 2023-07-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-17 | 2023-07-24 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-07-17 | 2023-07-24 | Y |