Most Recent Deficiencies for WINFIELD REST HAVEN II, LLC

Updated as of October 01, 2020

The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

The tables below are too small to fit on a phone. More information can be seen using a larger device such as a tablet, laptop, or desktop computer.

Deficiency Deficiency Date
Address patient/client population and determine types of services needed. 2019-10-08
Develop Emergency Preparedness policies and procedures. 2019-10-08
Establish procedures for tracking staff and patients during an emergency. 2019-10-08
Establish policies and procedures for medical documentation. 2019-10-08
Create arrangements with other facilities to receive patients. 2019-10-08
Provide emergency officials' contact information. 2019-10-08
Provide a means of sharing information on occupancy/needs. 2019-10-08
Provide family notifications of emergency plan. 2019-10-08
Establish emergency prep training and testing. 2019-10-08
Conduct testing and exercise requirements. 2019-10-08
Include a process for Emergency Preparedness collaboration. 2018-10-30
Address subsistence needs for staff and patients. 2018-10-30
Establish procedures for tracking staff and patients during an emergency. 2018-10-30
Establish policies and procedures for medical documentation. 2018-10-30
Establish policies and procedures for volunteers. 2018-10-30
Create arrangements with other facilities to receive patients. 2018-10-30
Establish roles under a Waiver declared by secretary. 2018-10-30
Develop a communication plan. 2018-10-30
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. 2020-02-12
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. 2020-02-02
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2019-12-12
Provide safe, appropriate dialysis care/services for a resident who requires such services. 2019-12-12
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. 2019-12-12
Ensure each resident?s drug regimen must be free from unnecessary drugs. 2019-12-12
Ensure that residents are free from significant medication errors. 2019-12-12
Protect each resident from the wrongful use of the resident's belongings or money. 2018-06-06
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted 2018-05-16
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 2018-05-16
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. 2018-12-12
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. 2018-12-12
Assure that each resident?s assessment is updated at least once every 3 months. 2018-12-12
Ensure each resident receives an accurate assessment. 2018-12-12
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2018-12-12
Provide activities to meet all resident's needs. 2018-12-12
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. 2018-12-12
Ensure each resident?s drug regimen must be free from unnecessary drugs. 2018-12-12
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 2018-12-12
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 2017-11-30
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 2017-11-30
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2017-11-30
Allow residents the right to participate in the planning or revision of care and treatment. 2017-11-30
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 2017-11-30
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 2017-11-30
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 2017-11-30
Post nurse staffing information/data on a daily basis. 2017-11-30
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 2017-09-29
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 2017-09-29
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2017-09-29
Allow residents the right to participate in the planning or revision of care and treatment. 2017-09-29
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 2017-09-29
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 2017-09-29
Post nurse staffing information/data on a daily basis. 2017-09-29
Provide necessary care and services to maintain or improve the highest well being of each resident . 2017-09-29
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 2017-09-29