Deficiency Records for Canfield Acres LLC Dba Windsor House at Canfield
Updated as of March 01, 2024
A list of the most recent deficiencies for Canfield Acres LLC Dba Windsor House at Canfield. 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? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2023-06-28 | 2023-07-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-28 | 2023-07-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-26 | 2023-06-16 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-06 | 2023-06-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-06 | 2023-06-16 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-04-06 | 2023-06-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-04-06 | 2023-06-16 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-06 | 2023-06-16 | 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 | 2023-04-06 | 2023-06-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-04 | 2023-06-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-04 | 2023-06-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-04 | 2023-06-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-27 | 2020-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2020-04-03 | N |
| Post nurse staffing information every day. | Health | 2020-02-27 | 2020-04-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-27 | 2020-04-03 | 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 | 2020-02-27 | 2020-04-03 | 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 | 2020-02-27 | 2020-04-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-27 | 2020-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-04-03 | 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 | 2020-02-28 | 2020-04-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-28 | 2020-04-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-01-04 | 2019-01-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-04 | 2019-01-25 | 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 | 2019-01-02 | 2019-01-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-02 | 2019-01-25 | N |
