Deficiency Records for Winship Green Center For Health and Rehab, LLC
Updated as of October 01, 2019
This is not the most recent data for Winship Green Center For Health and Rehab, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Winship Green Center For Health and Rehab, 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2019-05-15 | 2019-07-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-15 | 2019-07-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-05-15 | 2019-07-01 | 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 | 2019-05-15 | 2019-07-01 | N |
| 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 | 2019-05-16 | 2019-06-12 | 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 | 2019-05-16 | 2019-06-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-16 | 2019-06-12 | N |
| Use approved construction type or materials. | Fire Safety | 2018-04-24 | 2018-07-25 | 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 | 2018-04-24 | 2018-07-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-04-24 | 2018-07-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-24 | 2018-07-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-04-24 | 2018-07-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-26 | 2018-06-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-26 | 2018-06-08 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-04-26 | 2018-06-08 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-04-26 | 2018-06-08 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2018-04-26 | 2018-06-08 | 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 | 2018-04-26 | 2018-06-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-26 | 2018-06-08 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-20 | 2017-09-22 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-04-12 | 2017-06-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-12 | 2017-05-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-12 | 2017-05-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-04-12 | 2017-05-26 | N |
| Provide housekeeping and maintenance services. | Health | 2017-04-13 | 2017-05-16 | Y |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-04-13 | 2017-05-16 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-13 | 2017-05-16 | 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 | 2016-10-11 | 2016-11-04 | Y |
