Deficiency Records for Windsor Point Continuing Care
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.
Windsor Point Continuing Care
FUQUAY VARINA, NC 27526
Deficiency Records
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from Complaint? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-01-24 | 2025-03-10 | No |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-27 | 2024-12-25 | No |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-27 | 2024-12-25 | No |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-11-27 | 2024-12-25 | No |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-11-27 | 2024-12-25 | No |
| Keep residents' personal and medical records private and confidential. | Health | 2024-11-27 | 2024-12-22 | No |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-21 | 2024-01-30 | No |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-21 | 2024-01-30 | No |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-21 | 2024-01-30 | No |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-11-21 | 2024-01-30 | No |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-21 | 2024-01-30 | No |
| 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 | No |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-10-26 | 2023-11-23 | No |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-10-26 | 2023-11-23 | No |
| 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 | No |
| 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 | No |
| 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 | No |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-07-15 | 2022-09-13 | No |
| Dispose of garbage and refuse properly. | Health | 2022-07-15 | 2022-09-13 | No |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-15 | 2022-09-13 | No |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-04 | 2022-08-18 | No |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-04 | 2022-08-18 | No |
| 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 | No |
About Deficiency Records
Deficiency records are based on information provided by the Centers for Medicare & Medicaid Services (CMS) from both standard inspections and complaints filed by residents or their families.
Data Information
Data as of: September 01, 2025
Last Updated: September 01, 2025