Deficiency Records for Windsor Nursing and Rehabilitation Center of Mcall
Updated as of April 01, 2024
A list of the most recent deficiencies for Windsor Nursing and Rehabilitation Center of Mcall. 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 | 2023-06-09 | 2023-06-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-08 | 2023-06-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-12 | 2023-05-26 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-24 | 2022-05-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-24 | 2022-05-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-24 | 2022-05-31 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-03-23 | 2022-05-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-23 | 2022-05-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-23 | 2022-05-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-23 | 2022-05-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-23 | 2022-05-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-23 | 2022-03-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-22 | 2021-10-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-02-10 | 2021-03-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-02-10 | 2021-02-19 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-02-11 | 2021-02-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-11 | 2021-02-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-02-11 | 2021-02-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-02-11 | 2021-02-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-11 | 2021-02-12 | N |
