A list of the most recent deficiencies for Windsor Care Center of Sacramento. 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2023-11-21 | 2023-12-31 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-21 | 2023-12-31 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-11-21 | 2023-12-31 | 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 | 2023-11-21 | 2023-12-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-21 | 2023-12-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-21 | 2023-12-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-11-21 | 2023-12-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-21 | 2023-12-31 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-12-20 | 2023-12-29 | Y |
| 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 | 2023-11-16 | 2023-12-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-16 | 2023-12-25 | 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 | 2023-11-16 | 2023-12-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-12-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-11-16 | 2023-12-25 | N |
| Post nurse staffing information every day. | Health | 2023-11-16 | 2023-12-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-16 | 2023-12-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-16 | 2023-12-25 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-11-16 | 2023-12-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-25 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-11-16 | 2023-12-25 | N |
| Keep all essential equipment working safely. | Health | 2023-11-16 | 2023-12-25 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-11-16 | 2023-12-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-16 | 2023-12-25 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-10 | 2023-10-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-18 | 2023-05-25 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-04-12 | 2023-05-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-19 | 2023-04-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-24 | 2023-02-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-07 | 2023-01-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-23 | 2023-01-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-19 | 2023-01-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-05 | 2022-12-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-16 | 2022-12-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-01 | 2022-11-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-06 | 2022-10-05 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-09-12 | 2022-09-30 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-09-12 | 2022-09-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-02 | 2022-09-23 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-16 | 2022-01-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-16 | 2022-01-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-09 | 2022-01-09 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-12-09 | 2022-01-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-09 | 2022-01-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-12-09 | 2022-01-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-09 | 2022-01-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-09 | 2022-01-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-09 | 2022-01-09 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-12-09 | 2022-01-09 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-12-09 | 2022-01-09 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-12-09 | 2022-01-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-09 | 2022-01-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-09 | 2022-01-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-11 | 2021-10-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-19 | 2021-06-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-22 | 2021-05-10 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-11-21 | 2020-02-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-21 | 2020-02-05 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-11-21 | 2020-02-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-21 | 2020-02-05 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-21 | 2020-02-05 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-11-21 | 2020-02-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-21 | 2020-02-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-21 | 2020-02-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-21 | 2020-02-05 | 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 | 2019-11-21 | 2020-02-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-11-21 | 2020-02-05 | N |
| Provide activities to meet all resident's needs. | Health | 2019-11-21 | 2020-02-05 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-11-21 | 2020-02-05 | N |
| Post nurse staffing information every day. | Health | 2019-11-21 | 2020-02-05 | 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 | 2019-11-21 | 2020-02-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-21 | 2020-02-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2020-02-05 | N |
| Dispose of garbage and refuse properly. | Health | 2019-11-21 | 2020-02-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2020-02-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
