A list of the most recent deficiencies for Winfield Rest Haven Ii, LLC. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-03-08 | 2023-04-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-08 | 2023-04-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-08 | 2023-04-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-08 | 2023-04-03 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-08 | 2023-04-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-08 | 2023-04-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-08 | 2023-04-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-03-08 | 2023-04-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-08 | 2023-04-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-15 | 2023-03-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-15 | 2023-03-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-15 | 2023-03-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-15 | 2023-03-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-02-15 | 2023-03-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-08-25 | 2021-09-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Use approved construction type or materials. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-18 | 2021-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-12 | 2020-01-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-12 | 2020-01-17 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-12-12 | 2020-01-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-12 | 2020-01-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-12-12 | 2020-01-17 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-10-08 | Not Fixed | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-10-08 | Not Fixed | N |
