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Deficiency Records for Windsor Health and Rehabilitation
View the most recent health deficiencies and inspection results for Windsor Health and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Windsor Health and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-03-17 | 2026-04-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-03-17 | 2026-04-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-02-24 | 2026-03-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-24 | 2026-03-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-24 | 2026-03-31 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2026-02-24 | 2026-03-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-03 | 2025-08-01 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-03-14 | 2025-05-03 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-03-14 | 2025-05-03 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-03-14 | 2025-05-03 | 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 | 2025-03-14 | 2025-05-03 | 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 | 2025-03-14 | 2025-05-03 | 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 | 2025-03-14 | 2025-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-14 | 2025-05-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-14 | 2025-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-14 | 2025-05-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-03-14 | 2025-05-03 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-03-14 | 2025-04-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-03-14 | 2025-04-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-14 | 2025-04-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-03-14 | 2025-04-11 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-03-14 | 2025-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-02 | 2023-06-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-02 | 2023-06-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-02 | 2023-06-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-06-02 | 2023-06-21 | N |