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Deficiency Records for Windsor Healthcare and Rehab Center

View the most recent health deficiencies and inspection results for Windsor Healthcare and Rehab Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Windsor Healthcare and Rehab Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-06-25 2025-08-05 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2025-06-25 2025-08-05 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2025-06-25 2025-08-05 N
Post nurse staffing information every day. Health 2025-06-25 2025-08-05 N
Ensure the activities program is directed by a qualified professional. Health 2025-06-25 2025-08-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-06-25 2025-08-05 N
Ensure each resident receives an accurate assessment. Health 2025-06-25 2025-08-05 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-06-25 2025-08-05 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 2025-06-25 2025-08-05 N
Honor the resident's right to manage his or her financial affairs. Health 2025-06-25 2025-08-05 N
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 2025-06-25 2025-08-05 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-07-29 2024-09-09 Y
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Health 2024-07-29 2024-09-09 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-29 2024-09-09 Y
Respond appropriately to all alleged violations. Health 2024-07-29 2024-09-09 Y
Provide and implement an infection prevention and control program. Health 2023-12-14 2024-01-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-14 2024-01-26 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-12-14 2024-01-26 N
Provide enough food/fluids to maintain a resident's health. Health 2023-12-14 2024-01-26 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-12-14 2024-01-26 N
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 2023-12-14 2024-01-26 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-12-14 2024-01-26 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-12-14 2024-01-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-12-14 2024-01-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-12-14 2024-01-26 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-06 2023-10-16 Y
Ensure that residents are free from significant medication errors. Health 2021-05-21 2021-07-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-21 2021-07-02 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2021-05-21 2021-07-02 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-05-21 2021-07-02 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-05-21 2021-07-02 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-05-21 2021-07-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-05-21 2021-07-02 N

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