Deficiency Records for Winchester Health and Rehabilitation
Updated as of April 01, 2020
This is not the most recent data for Winchester Health and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Winchester Health 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-09 | 2020-02-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-09 | 2020-02-15 | 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 | 2020-01-09 | 2020-02-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-09 | 2020-02-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-09 | 2020-02-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-01-09 | 2020-02-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-09 | 2020-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-09 | 2020-02-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-09 | 2020-02-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-09 | 2020-02-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-09 | 2020-02-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-01-09 | 2020-02-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-09 | 2020-02-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-09 | 2020-02-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-02-15 | 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 | 2018-11-14 | 2019-01-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-11-14 | 2019-01-15 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-11-14 | 2019-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-14 | 2019-01-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-14 | 2019-01-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-11-14 | 2019-01-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-12 | 2018-11-10 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-10-12 | 2018-11-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-12 | 2018-11-10 | 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 | 2018-10-12 | 2018-11-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-12 | 2018-11-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-12 | 2018-11-10 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-10-12 | 2018-11-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-12 | 2018-11-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-10-12 | 2018-11-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-12 | 2018-11-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-12 | 2018-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-12 | 2018-11-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-12 | 2018-11-10 | Y |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2017-08-16 | 2017-10-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-16 | 2017-10-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-08-16 | 2017-10-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-08-16 | 2017-10-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-16 | 2017-10-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-08-16 | 2017-10-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-08-16 | 2017-10-02 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-08-03 | 2017-09-05 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-08-03 | 2017-09-05 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-03 | 2017-09-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-03 | 2017-09-05 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-03 | 2017-09-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-03 | 2017-09-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-03 | 2017-09-05 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-03 | 2017-09-05 | 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 | 2017-08-03 | 2017-09-05 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-08-03 | 2017-09-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-07-28 | 2016-08-29 | N |
| Provide housekeeping and maintenance services. | Health | 2016-07-28 | 2016-08-29 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-07-28 | 2016-08-29 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-07-28 | 2016-08-29 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-07-28 | 2016-08-29 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-07-28 | 2016-08-29 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-07-28 | 2016-08-29 | 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 | 2016-07-28 | 2016-08-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-07-28 | 2016-08-29 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-07-28 | 2016-08-29 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-07-28 | 2016-08-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-29 | Not Fixed | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-29 | Not Fixed | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-29 | Not Fixed | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-29 | Not Fixed | N |
