Deficiency Records for Windridge Nursing and Rehabilitation Center
Updated as of January 01, 2019
This is not the most recent data for Windridge Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Windridge Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-30 | 2018-09-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-07-30 | 2018-09-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-30 | 2018-09-07 | 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 ne | Health | 2018-07-30 | 2018-09-07 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-07-30 | 2018-09-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-30 | 2018-09-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-30 | 2018-09-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-04-25 | 2017-05-25 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-05-01 | 2017-05-25 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-05-01 | 2017-05-25 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-05-01 | 2017-05-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-01 | 2017-05-25 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-05-01 | 2017-05-25 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-05-01 | 2017-05-25 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-01 | 2017-05-25 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-05-01 | 2017-05-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-01 | 2017-05-25 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-05-01 | 2017-05-25 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-08-03 | 2016-09-16 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-08-03 | 2016-09-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-06-09 | 2016-07-15 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-06-09 | 2016-07-15 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-06-09 | 2016-07-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-09 | 2016-07-15 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-06-09 | 2016-07-15 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-06-09 | 2016-07-15 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-06-09 | 2016-07-15 | N |
| Rooms that can be unlocked from inside without a key. | Fire Safety | 2016-06-08 | 2016-07-08 | N |
