Deficiency Records for Windemere Park Health and Rehab Center
Updated as of August 01, 2019
This is not the most recent data for Windemere Park Health and Rehab Center. For the most recent information, click here.
A list of the most recent deficiencies for Windemere Park Health and Rehab Center. 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? |
|---|---|---|---|---|
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-12-12 | 2019-01-15 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-12-13 | 2019-01-15 | 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 | 2018-12-13 | 2019-01-15 | 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 | 2018-12-13 | 2019-01-15 | 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 | 2018-12-13 | 2019-01-15 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2018-12-13 | 2019-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-13 | 2019-01-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-14 | 2018-10-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-18 | 2018-04-27 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-10-11 | 2017-11-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-11 | 2017-11-10 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-10-11 | 2017-11-10 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-10-11 | 2017-11-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-11 | 2017-11-10 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-10-11 | 2017-11-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-11-03 | 2016-12-01 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-11-03 | 2016-12-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-03 | 2016-12-01 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-11-03 | 2016-12-01 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-11-03 | 2016-12-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-03 | 2016-12-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-03 | 2016-12-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-11-03 | 2016-12-01 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-11-03 | 2016-12-01 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-11-03 | 2016-12-01 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-03 | 2016-12-01 | N |
