Deficiency Records for Windsor Nursing and Rehabilitation Center of Harli
Updated as of February 01, 2019
This is not the most recent data for Windsor Nursing and Rehabilitation Center of Harli. For the most recent information, click here.
A list of the most recent deficiencies for Windsor Nursing and Rehabilitation Center of Harli. 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-01-29 | 2018-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-29 | 2018-03-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-29 | 2018-03-01 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-01-29 | 2018-03-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-01-29 | 2018-03-01 | 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 ne | Health | 2018-01-29 | 2018-03-01 | 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 | 2018-01-29 | 2018-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-29 | 2018-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-29 | 2018-03-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-01-24 | 2018-02-13 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2018-01-24 | 2018-02-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-24 | 2018-02-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-24 | 2018-02-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-01-24 | 2018-01-25 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-01-24 | 2018-01-25 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2017-12-04 | 2017-12-18 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-06-05 | 2017-06-16 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-06-05 | 2017-06-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-05 | 2017-06-16 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-12 | 2017-06-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-12 | 2017-06-12 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-05-12 | 2017-06-12 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-12 | 2017-06-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-03-08 | 2017-04-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-08 | 2017-04-10 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-08 | 2017-04-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-08 | 2017-04-10 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2016-12-23 | 2017-02-13 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-12-23 | 2017-02-13 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-12-23 | 2017-02-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-12-23 | 2017-02-13 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-12-23 | 2017-02-13 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-12-23 | 2017-02-13 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-12-23 | 2017-02-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-23 | 2017-02-13 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-12-23 | 2017-02-13 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-12-23 | 2017-02-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-23 | 2017-02-13 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-12-23 | 2017-02-13 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-12-23 | 2017-02-13 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2016-12-23 | 2017-02-13 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-12-23 | 2017-02-13 | 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 | 2016-12-23 | 2017-02-13 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-23 | 2017-02-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-23 | 2017-02-13 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-12-23 | 2017-02-13 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-12-23 | 2017-02-13 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-30 | 2017-02-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-30 | 2017-02-13 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-03 | 2016-03-31 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-02-03 | 2016-03-31 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2015-12-10 | 2016-01-30 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-12-10 | 2016-01-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-10 | 2016-01-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-12-10 | 2016-01-30 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-12-10 | 2016-01-30 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-12-10 | 2016-01-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-12-10 | 2016-01-30 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2015-12-10 | 2016-01-30 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-12-09 | 2015-12-11 | N |
