Deficiency Records for Windsor Healthcare and Rehab Center

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Updated as of April 01, 2024

A list of the most recent deficiencies for Windsor Healthcare 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?
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. 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
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
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
Provide and implement an infection prevention and control program. 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 2023-12-15 2024-01-26 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-12-15 2024-01-26 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-12-15 2024-01-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-12-15 2024-01-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-12-15 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
Provide and implement an infection prevention and control program. Health 2022-04-07 2022-05-16 Y
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
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 that residents are free from significant medication errors. 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
Ensure proper usage of power strips and extension cords. Fire Safety 2021-05-21 2021-07-02 N