Deficiency Records for Windsor Medical Center Inc
Updated as of August 01, 2022
This is not the most recent data for Windsor Medical Center Inc. For the most recent information, click here.
A list of the most recent deficiencies for Windsor Medical Center Inc. 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 | 2020-12-07 | 2021-01-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-05 | 2020-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-01 | 2020-06-12 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2020-01-23 | 2020-02-13 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-23 | 2020-02-13 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-17 | 2019-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-17 | 2019-07-31 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-07-26 | 2018-10-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-26 | 2018-10-24 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2018-07-26 | 2018-09-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-26 | 2018-09-18 | 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 | 2018-07-26 | 2018-09-18 | 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 | 2018-07-26 | 2018-09-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-07-26 | 2018-09-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-07-26 | 2018-09-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-26 | 2018-09-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-07-26 | 2018-09-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-26 | 2018-09-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-26 | 2018-09-18 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2018-07-26 | 2018-09-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-26 | 2018-09-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-07-26 | 2018-09-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-07-26 | 2018-09-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-07-26 | 2018-09-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-26 | 2018-09-18 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-07-26 | 2018-09-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-07-26 | 2018-09-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-23 | 2017-07-14 | 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 | 2017-05-23 | 2017-07-14 | 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 | 2017-05-23 | 2017-07-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-05-23 | 2017-07-14 | 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 | 2017-05-23 | 2017-07-14 | N |
| Construct fire resistant interior walls. | Fire Safety | 2017-05-23 | 2017-07-14 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-05-23 | 2017-07-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-05-23 | 2017-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-23 | 2017-07-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-05-23 | 2017-07-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-23 | 2017-07-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-23 | 2017-07-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-05-23 | 2017-07-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-05-23 | 2017-07-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-05-23 | 2017-07-14 | N |
