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Deficiency Records for Winchester Gardens Health Care Center
View the most recent health deficiencies and inspection results for Winchester Gardens Health Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Winchester Gardens Health Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-20 | 2026-03-20 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-05 | 2026-01-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-09-05 | 2025-12-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-09-05 | 2025-10-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-09-05 | 2025-10-31 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-09-05 | 2025-10-31 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-09-05 | 2025-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-05 | 2025-10-31 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-09-05 | 2025-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-09-05 | 2025-10-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-09-05 | 2025-10-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-09-05 | 2025-10-31 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2025-09-05 | 2025-10-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-09-05 | 2025-10-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-09-05 | 2025-10-31 | 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 | 2025-09-05 | 2025-10-31 | 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 | 2024-05-31 | 2024-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-31 | 2024-07-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-31 | 2024-07-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-05-31 | 2024-07-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-31 | 2024-07-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-31 | 2024-07-22 | 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 | 2024-05-31 | 2024-07-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-31 | 2024-07-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-04 | 2023-01-04 | 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 | 2022-10-04 | 2022-11-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-10-04 | 2022-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-04 | 2022-11-30 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-10-04 | 2022-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-04 | 2022-11-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-04 | 2022-11-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-04 | 2022-11-30 | 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 | 2022-10-04 | 2022-11-30 | N |