A list of the most recent deficiencies for Windsor Gardens. 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-05 | 2023-11-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-05 | 2023-10-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-05 | 2023-10-20 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-05 | 2023-10-06 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-10-05 | 2023-10-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-05 | 2023-10-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-07-14 | 2023-08-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-21 | 2023-03-31 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-18 | 2022-09-19 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-18 | 2022-09-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-18 | 2022-09-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-18 | 2022-09-19 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-08-17 | 2022-08-20 | N |
| 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 | 2022-07-07 | 2022-07-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-10 | 2022-03-07 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-23 | 2021-07-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-24 | 2021-07-09 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-06-23 | 2021-07-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-23 | 2021-07-09 | N |
| Provide activities to meet all resident's needs. | Health | 2021-04-01 | 2021-04-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-01 | 2021-04-30 | Y |
