Deficiency Records for Four Winds Manor
Updated as of September 01, 2021
This is not the most recent data for Four Winds Manor. For the most recent information, click here.
A list of the most recent deficiencies for Four Winds Manor. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-03 | 2020-10-03 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-02 | 2020-04-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-02 | 2020-04-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-02 | 2020-04-03 | 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 | 2020-03-04 | 2020-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-04 | 2020-04-03 | 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 | 2020-03-04 | 2020-04-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-03-04 | 2020-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-04 | 2020-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-04 | 2020-04-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-31 | 2019-05-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-01-31 | 2019-02-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-31 | 2019-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-31 | 2019-02-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-10-31 | 2017-12-14 | 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 | 2017-10-31 | 2017-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-10-31 | 2017-11-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-10-31 | 2017-11-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-10-31 | 2017-11-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-10-31 | 2017-11-15 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-11-01 | 2017-11-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-01 | 2017-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-31 | 2017-11-09 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2017-10-31 | 2017-11-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-10-31 | 2017-11-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-10-31 | 2017-11-02 | N |
