Deficiency Records for Four Winds Nursing Facility
Updated as of October 01, 2021
This is not the most recent data for Four Winds Nursing Facility. For the most recent information, click here.
A list of the most recent deficiencies for Four Winds Nursing Facility. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-12-16 | 2021-01-20 | N |
| Report COVID19 data to residents and families. | Health | 2020-12-16 | 2021-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-12 | 2020-03-20 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2020-02-12 | 2020-03-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-02-13 | 2020-03-20 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2020-02-13 | 2020-03-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-13 | 2020-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-13 | 2020-03-20 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2019-01-03 | 2019-01-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-04 | 2019-01-25 | N |
| 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 | 2019-01-04 | 2019-01-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-04 | 2019-01-25 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-11-29 | 2018-01-12 | 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 | 2017-11-29 | 2018-01-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-11-29 | 2018-01-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-29 | 2018-01-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-04 | 2018-01-12 | N |
| 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 | 2017-12-04 | 2018-01-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-12-04 | 2018-01-12 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2017-12-04 | 2018-01-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-04 | 2018-01-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2017-12-04 | 2018-01-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-04 | 2018-01-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-12-04 | 2018-01-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-04 | 2018-01-12 | 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 | 2017-12-04 | 2018-01-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2017-12-04 | 2018-01-12 | 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 | 2017-12-04 | 2018-01-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2017-12-04 | 2018-01-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-04 | 2018-01-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2017-12-04 | 2018-01-12 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2017-12-04 | 2018-01-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-12-04 | 2018-01-12 | N |
