Deficiency Records for Windsor Place Senior Living Campus
Updated as of April 01, 2018
This is not the most recent data for Windsor Place Senior Living Campus. For the most recent information, click here.
A list of the most recent deficiencies for Windsor Place Senior Living Campus. 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-11-15 | 2017-12-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-11-15 | 2017-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-15 | 2017-12-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-11-15 | 2017-12-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-11-15 | 2017-12-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-11-15 | 2017-12-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-11-15 | 2017-12-06 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-11-09 | 2017-12-01 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-11-09 | 2017-12-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-11-09 | 2017-12-01 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-11-09 | 2017-12-01 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-09 | 2017-10-10 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-03-09 | 2017-03-11 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-10-21 | 2016-11-21 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-10-21 | 2016-11-21 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-10-21 | 2016-11-21 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-10-20 | 2016-11-20 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-10-20 | 2016-11-20 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-10-20 | 2016-11-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-10-20 | 2016-11-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-10-20 | 2016-11-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-10-20 | 2016-11-20 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-10-20 | 2016-11-20 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-10-20 | 2016-11-20 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2016-10-20 | 2016-11-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-10-20 | 2016-11-20 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-10-21 | 2016-11-15 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-10-20 | 2016-11-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-03-16 | 2016-03-30 | Y |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-11-16 | 2015-12-28 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-11-16 | 2015-12-28 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-11-16 | 2015-12-28 | N |
