Deficiency Records for Windcrest Nursing and Rehabilitation
Updated as of July 01, 2021
This is not the most recent data for Windcrest Nursing and Rehabilitation. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-02-25 | 2021-03-12 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-10-14 | 2020-11-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-10-14 | 2020-11-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-10-16 | 2020-11-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-10-16 | 2020-11-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-16 | 2020-11-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-31 | 2020-09-02 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-05 | 2020-03-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-02-07 | 2020-03-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-07 | 2020-03-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-07 | 2020-03-09 | 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 | 2020-02-07 | 2020-03-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-07 | 2020-03-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-07 | 2020-03-09 | 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 | 2020-02-07 | 2020-03-09 | 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 | 2020-02-07 | 2020-03-09 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-02-07 | 2020-03-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-07 | 2020-03-09 | N |
| Dispose of garbage and refuse properly. | Health | 2020-02-07 | 2020-03-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-07 | 2020-03-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-07 | 2020-03-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-06 | 2019-09-13 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-04-18 | 2019-05-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-04-18 | 2019-05-09 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-04-18 | 2019-05-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-18 | 2019-05-09 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-02-08 | 2019-03-15 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-02-08 | 2019-02-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-08 | 2019-02-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-08 | 2019-02-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-08 | 2019-02-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-14 | 2018-10-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-09-14 | 2018-09-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-15 | 2018-08-29 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-08-15 | 2018-08-16 | Y |
