Deficiency Records for Windsor Post-Acute Care Center of Hayward
Updated as of April 01, 2024
A list of the most recent deficiencies for Windsor Post-Acute Care Center of Hayward. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-12 | 2024-02-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-11 | 2024-02-08 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-11-09 | 2023-11-15 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-10-24 | 2022-11-15 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-24 | 2022-11-15 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-07-11 | 2022-07-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-11 | 2022-07-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-11 | 2022-07-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-11 | 2022-07-25 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-02-18 | 2022-04-11 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-02-18 | 2022-04-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-18 | 2022-04-11 | 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 | 2022-02-18 | 2022-04-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-18 | 2022-04-11 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-02-18 | 2022-04-11 | N |
| Dispose of garbage and refuse properly. | Health | 2022-02-18 | 2022-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-18 | 2022-04-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-18 | 2022-04-11 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-02-23 | 2022-03-17 | N |
| Use approved construction type or materials. | Fire Safety | 2022-02-23 | 2022-03-17 | 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 | 2022-02-23 | 2022-03-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-23 | 2022-03-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-02-23 | 2022-03-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-02-23 | 2022-03-17 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-02-23 | 2022-03-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-23 | 2022-03-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-23 | 2022-03-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-23 | 2022-03-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-23 | 2022-03-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-23 | 2022-03-17 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-02-23 | 2022-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-23 | 2022-03-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-02-23 | 2022-03-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-23 | 2022-03-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-23 | 2022-03-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-21 | 2022-01-26 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-12-21 | 2022-01-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-20 | 2022-01-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-20 | 2022-01-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-25 | 2021-12-22 | Y |
| Have a combustible roofing system that meets safety standards. | Fire Safety | 2021-11-02 | 2021-11-23 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-02 | 2021-11-23 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-03 | 2021-08-23 | Y |
| 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 | 2019-06-27 | 2019-07-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-27 | 2019-07-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-27 | 2019-07-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-27 | 2019-07-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-27 | 2019-07-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-27 | 2019-07-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-11 | 2019-05-11 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-04-11 | 2019-05-11 | 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 | 2019-04-11 | 2019-05-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-11 | 2019-05-11 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-04-11 | 2019-05-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-11 | 2019-05-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-11 | 2019-05-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-11 | 2019-05-11 | 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 | 2018-07-11 | 2018-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-11 | 2018-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-11 | 2018-07-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-07-11 | 2018-07-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-11 | 2018-07-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-11 | 2018-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-11 | 2018-07-26 | N |
| Provide activities to meet all resident's needs. | Health | 2018-05-17 | 2018-06-08 | 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 | 2018-05-17 | 2018-06-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-17 | 2018-06-08 | N |
