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Deficiency Records for Four Winds Manor
View the most recent health deficiencies and inspection results for Four Winds Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Four Winds Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-11 | 2025-12-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-11 | 2025-12-12 | Y |
| Implement a program that monitors antibiotic use. | Health | 2025-09-04 | 2025-09-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-09-04 | 2025-09-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-09-04 | 2025-09-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-09-04 | 2025-09-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-04 | 2025-09-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-09-04 | 2025-09-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-09-04 | 2025-09-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-09-04 | 2025-09-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-09-04 | 2025-09-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-04 | 2025-09-29 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-09-04 | 2025-09-29 | 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 | 2025-09-04 | 2025-09-23 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-09-04 | 2025-09-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-09-04 | 2025-09-22 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2025-09-04 | 2025-09-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-24 | 2025-02-21 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-01-24 | 2025-02-21 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-01-24 | 2025-02-21 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-06 | 2024-10-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-06 | 2024-09-30 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-08-06 | 2024-09-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-06 | 2024-09-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-06 | 2024-09-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-06 | 2024-09-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-06 | 2024-08-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-08-06 | 2024-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-06 | 2024-08-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-06 | 2024-08-23 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2024-08-06 | 2024-08-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-06 | 2024-08-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-06 | 2024-08-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-06 | 2024-08-23 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-08-06 | 2024-08-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-06 | 2024-08-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-06 | 2024-08-13 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-08-06 | 2024-08-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-06 | 2024-08-06 | N |
| Provide appropriate foot care. | Health | 2024-08-06 | 2024-08-06 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-08-06 | 2024-08-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-06 | 2024-08-02 | N |
| Respond appropriately to all alleged violations. | Health | 2024-04-22 | 2024-05-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-22 | 2023-09-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-20 | 2023-07-06 | Y |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2023-04-19 | 2023-05-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-19 | 2023-05-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-19 | 2023-05-12 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-04-19 | 2023-05-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-19 | 2023-05-08 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-04-19 | 2023-05-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-04-19 | 2023-04-21 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-04-19 | 2023-04-19 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-04-19 | 2023-04-18 | N |