Deficiency Records for Windridge Nursing and Rehabilitation Center
Updated as of September 01, 2022
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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-10-17 | 2019-11-16 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-10-17 | 2019-11-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-17 | 2019-11-16 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-10-17 | 2019-11-16 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-10-17 | 2019-11-16 | Y |
| 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 | 2019-10-17 | 2019-11-16 | Y |
| 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 necessary and PRN use is limited. | 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 |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-07-25 | 2018-09-07 | 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 |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-04-25 | 2017-05-25 | N |
