A list of the most recent deficiencies for Windsor Health Care Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-02-27 | 2023-04-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-02-27 | 2023-04-01 | N |
| Respond appropriately to all alleged violations. | Health | 2023-02-27 | 2023-04-01 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-02-27 | 2023-04-01 | 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 | 2023-02-27 | 2023-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-27 | 2023-04-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-27 | 2023-04-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-27 | 2023-04-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-21 | 2023-04-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-02-21 | 2023-04-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-21 | 2023-04-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-21 | 2023-04-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-21 | 2023-04-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-27 | 2022-07-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-27 | 2022-07-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-22 | 2021-12-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-10 | 2021-10-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-10 | 2021-10-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-09-10 | 2021-10-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-20 | 2020-03-27 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-02-20 | 2020-03-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-20 | 2020-03-27 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-02-20 | 2020-03-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-20 | 2020-03-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-20 | 2020-03-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-20 | 2020-03-27 | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-20 | 2020-03-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-20 | 2020-03-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-20 | 2020-03-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-02-20 | 2020-03-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-20 | 2020-03-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-02-20 | 2020-03-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-20 | 2020-03-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-20 | 2020-03-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-20 | 2020-03-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-20 | 2020-03-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-20 | 2020-03-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-20 | 2020-03-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-28 | 2019-01-18 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-12-28 | 2019-01-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-28 | 2019-01-18 | 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 | 2018-12-28 | 2019-01-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-28 | 2019-01-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-12-28 | 2019-01-18 | 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 | 2018-12-27 | 2019-01-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-12-27 | 2019-01-18 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-12-27 | 2019-01-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-27 | 2019-01-18 | N |
