A list of the most recent deficiencies for Windsor Point Continuing Care. 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? |
|---|---|---|---|---|
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-21 | 2024-01-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-21 | 2024-01-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-21 | 2024-01-30 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-11-21 | 2024-01-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-21 | 2024-01-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-26 | 2023-11-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-26 | 2023-11-23 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-10-26 | 2023-11-23 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-10-26 | 2023-11-23 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-10-26 | 2023-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-15 | 2022-09-23 | N |
| Dispose of garbage and refuse properly. | Health | 2022-07-15 | 2022-09-13 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-07-15 | 2022-09-13 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-15 | 2022-09-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-04 | 2022-08-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-04 | 2022-08-18 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-07-15 | 2022-08-04 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-03-18 | 2021-04-14 | N |
