Deficiency Records for Windcrest Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Windcrest Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-11-07 | 2023-11-17 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-11-07 | 2023-11-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-07 | 2023-11-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-07 | 2023-11-17 | Y |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2023-11-07 | 2023-11-17 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2023-11-07 | 2023-11-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-25 | 2023-07-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-25 | 2023-07-12 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-25 | 2023-06-09 | Y |
| 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 | 2023-04-13 | 2023-05-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-13 | 2023-05-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-13 | 2023-05-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-08 | 2022-12-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-08 | 2022-12-22 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-03 | 2022-02-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-02-03 | 2022-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-03 | 2022-02-28 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-02-03 | 2022-02-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-09 | 2021-04-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-03-19 | 2021-04-01 | Y |
