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Deficiency Records for Windsor Park Rehab and Nursing Center

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

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

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
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 2024-10-03 2024-11-27 N
Post nurse staffing information every day. Health 2024-10-03 2024-11-27 N
Provide and implement an infection prevention and control program. Health 2024-10-03 2024-11-27 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-10-03 2024-11-25 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-10-03 2024-11-25 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-06-30 2024-07-05 Y
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. Health 2024-06-30 2024-07-05 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-06-30 2024-07-05 Y
Ensure each resident receives an accurate assessment. Health 2024-06-30 2024-07-05 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2024-06-30 2024-07-05 Y
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Health 2024-06-30 2024-07-05 Y
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 2024-06-30 2024-07-05 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2024-06-30 2024-07-05 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-10-24 2023-12-11 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-10-24 2023-12-11 Y
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 2023-10-24 2023-12-11 Y
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-09-01 2022-10-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-01 2022-10-07 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-09-01 2022-10-07 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 2022-09-01 2022-10-07 N
Have an enclosure around a vertical opening shaft. Fire Safety 2019-10-29 2019-11-11 N

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