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Deficiency Records for Windemere Park Health and Rehabilitation Center
View the most recent health deficiencies and inspection results for Windemere Park Health and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Windemere Park Health and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-04-07 | 2026-04-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-02-18 | 2026-03-10 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-04-30 | 2025-05-28 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-04-30 | 2025-05-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-04-30 | 2025-05-28 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-04-30 | 2025-05-28 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2025-04-30 | 2025-05-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-30 | 2025-05-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-30 | 2025-05-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-04-30 | 2025-05-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-04-30 | 2025-05-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-30 | 2025-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-30 | 2025-05-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-04-30 | 2025-05-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-01 | 2024-10-25 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-10-01 | 2024-10-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-16 | 2024-08-08 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-04-04 | 2024-05-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-04 | 2024-05-15 | 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 | 2024-04-04 | 2024-05-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-04 | 2024-05-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-04-04 | 2024-05-15 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-04 | 2024-05-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-04 | 2024-05-15 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-04-04 | 2024-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-04 | 2024-05-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-04 | 2024-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-04 | 2024-05-15 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-01-11 | 2023-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-11 | 2023-02-20 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-01-11 | 2023-02-20 | 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 necessary and PRN use is limited. | Health | 2023-01-11 | 2023-02-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-11 | 2023-02-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-01-11 | 2023-02-20 | 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 | 2023-01-11 | 2023-02-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-11 | 2023-02-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-11 | 2023-02-20 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-01-11 | 2023-02-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-11 | 2023-02-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-11 | 2023-02-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-11 | 2023-02-20 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-01-11 | 2023-02-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-11 | 2023-02-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-11 | 2023-02-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-11 | 2023-02-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-11 | 2023-02-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-11 | 2023-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-11 | 2023-02-20 | 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 | 2023-01-11 | 2023-02-20 | N |
| Meet other general requirements. | Fire Safety | 2023-01-11 | 2023-02-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-11 | 2023-02-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-11 | 2023-02-20 | N |