Deficiency Records for Windsor Nursing and Rehabilitation Center of Harli
Updated as of April 01, 2021
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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-14 | 2020-03-31 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-02-14 | 2020-03-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-14 | 2020-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-14 | 2020-03-31 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-02-14 | 2020-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-14 | 2020-03-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-14 | 2020-03-31 | 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 | 2020-02-14 | 2020-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-14 | 2020-03-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-02-14 | 2020-03-31 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2020-02-12 | 2020-03-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-12 | 2020-03-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-12 | 2020-03-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-12 | 2020-03-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-27 | 2019-09-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-27 | 2019-09-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-08-27 | 2019-09-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-27 | 2019-09-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-27 | 2019-09-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-22 | 2019-03-22 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-02-22 | 2019-03-22 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-02-22 | 2019-03-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-22 | 2019-03-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-22 | 2019-03-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-22 | 2019-03-22 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-02-22 | 2019-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-22 | 2019-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-20 | 2019-03-20 | N |
| 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 necessary and PRN use is limited. | 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 |
