Deficiency Records for Winchester Terrace
Updated as of October 01, 2022
This is not the most recent data for Winchester Terrace. For the most recent information, click here.
A list of the most recent deficiencies for Winchester Terrace. 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 organize and participate in resident/family groups in the facility. | Health | 2022-01-20 | 2022-03-03 | Y |
Honor the resident's right to manage his or her financial affairs. | Health | 2022-01-20 | 2022-03-03 | Y |
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-01-20 | 2022-03-03 | Y |
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 | 2022-01-20 | 2022-03-03 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-01-20 | 2022-03-03 | Y |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-01-20 | 2022-03-03 | Y |
Respond appropriately to all alleged violations. | Health | 2021-12-09 | 2022-01-07 | Y |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-10-28 | 2022-01-07 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-28 | 2022-01-07 | Y |
Post nurse staffing information every day. | Health | 2021-10-28 | 2021-11-30 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-08-19 | 2021-09-17 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2020-12-14 | 2021-02-05 | N |
Provide and implement an infection prevention and control program. | Health | 2020-12-14 | 2021-02-05 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-12-14 | 2021-02-05 | N |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-01-11 | 2021-02-05 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-01-11 | 2021-02-05 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-01-11 | 2021-02-05 | Y |
Report COVID19 data to residents and families. | Health | 2021-01-11 | 2021-02-05 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-10-20 | 2021-02-05 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-06-15 | 2020-07-21 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-05 | 2020-01-23 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-05 | 2020-01-21 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-05 | 2020-01-21 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-12-05 | 2020-01-21 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-12-05 | 2020-01-21 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-12-05 | 2020-01-21 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-05 | 2020-01-21 | N |
Provide activities to meet all resident's needs. | Health | 2019-12-05 | 2020-01-21 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2019-12-05 | 2020-01-21 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-05 | 2020-01-21 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-05 | 2020-01-21 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-12-05 | 2020-01-21 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-05 | 2020-01-21 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-12-05 | 2020-01-21 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-12-05 | 2020-01-21 | Y |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-12-05 | 2020-01-21 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-12-05 | 2020-01-21 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-05 | 2020-01-21 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-05 | 2020-01-21 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2019-12-05 | 2020-01-21 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-05 | 2020-01-21 | N |
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2018-11-07 | 2018-12-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-07 | 2018-12-18 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-11-05 | 2018-12-18 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-11-05 | 2018-12-18 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-11-05 | 2018-12-18 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-05 | 2018-12-18 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-05 | 2018-12-18 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-05 | 2018-12-18 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-11-05 | 2018-12-18 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2018-11-05 | 2018-12-18 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-05 | 2018-12-18 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-28 | 2017-11-08 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-09-28 | 2017-11-08 | N |
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-09-28 | 2017-11-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-26 | 2017-11-08 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2017-09-26 | 2017-11-08 | N |