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Deficiency Records for Windsor Rehabilitation and Healthcare Center
View the most recent health deficiencies and inspection results for Windsor Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Windsor Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-01-13 | 2026-02-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-13 | 2026-02-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-01-13 | 2026-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-13 | 2026-02-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-01-13 | 2026-02-04 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2026-01-13 | 2026-02-03 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-01-13 | 2026-02-03 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2026-01-13 | 2026-02-02 | Y |
| 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 | 2026-01-13 | 2026-02-02 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2026-01-13 | 2026-02-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-01-13 | 2026-02-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-01-13 | 2026-02-02 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2026-01-13 | 2026-02-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-11-14 | 2025-11-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-11-14 | 2025-11-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-28 | 2025-06-13 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-05-28 | 2025-06-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-28 | 2025-06-13 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-05-28 | 2025-06-13 | Y |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2025-05-28 | 2025-06-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-06 | 2025-05-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-05-06 | 2025-05-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-04-10 | 2025-04-24 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-10-15 | 2024-11-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-15 | 2024-11-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-11-26 | 2024-11-14 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-10-15 | 2024-11-14 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-10-15 | 2024-11-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-15 | 2024-11-14 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-10-15 | 2024-11-14 | 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 | 2024-10-15 | 2024-11-14 | 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 | 2024-10-15 | 2024-11-14 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-10-15 | 2024-11-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-15 | 2024-11-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-15 | 2024-11-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-15 | 2024-11-14 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-11-26 | 2024-11-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-15 | 2024-11-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-15 | 2024-11-14 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-10-15 | 2024-11-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-06 | 2024-08-16 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-08-10 | 2023-10-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-10 | 2023-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-10 | 2023-10-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-10 | 2023-10-06 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-08-10 | 2023-08-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-10 | 2023-08-30 | 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 | 2023-08-10 | 2023-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-10 | 2023-08-30 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-10 | 2023-08-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-10 | 2023-08-30 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-10 | 2023-08-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-10 | 2023-08-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-10 | 2023-08-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-10 | 2023-08-30 | Y |
| Post nurse staffing information every day. | Health | 2023-08-10 | 2023-08-30 | 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 | 2023-08-10 | 2023-08-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-10 | 2023-08-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-10 | 2023-08-30 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-19 | 2022-08-31 | 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 | 2022-05-19 | 2022-08-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-19 | 2022-08-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-19 | 2022-08-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-19 | 2022-08-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-19 | 2022-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-19 | 2022-08-31 | N |