Deficiency Records for Windsor Healthcare Residence
Updated as of November 01, 2019
This is not the most recent data for Windsor Healthcare Residence. For the most recent information, click here.
A list of the most recent deficiencies for Windsor Healthcare Residence. 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? |
|---|---|---|---|---|
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-01-24 | 2019-03-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-07-19 | 2018-08-29 | Y |
| 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 | 2018-07-19 | 2018-08-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-19 | 2018-08-29 | Y |
| 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 ne | Health | 2018-07-19 | 2018-08-29 | Y |
| 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 | 2018-07-19 | 2018-08-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-19 | 2018-08-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-07-19 | 2018-08-29 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-07-19 | 2018-08-08 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2018-07-19 | 2018-08-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-06-08 | 2018-07-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-26 | 2018-05-26 | Y |
| 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 | 2018-04-26 | 2018-05-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-26 | 2018-05-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-06 | 2017-09-18 | Y |
| Have an alternate power supply for its alarm system. | Fire Safety | 2017-06-08 | 2017-07-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-06-08 | 2017-07-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-08 | 2017-07-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-06-08 | 2017-07-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-06-08 | 2017-07-21 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-06-08 | 2017-07-21 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-06-07 | 2017-06-08 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-07 | 2017-06-08 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-02-08 | 2017-02-11 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-02-08 | 2017-02-11 | Y |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-04-15 | 2016-05-15 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2016-04-14 | 2016-04-23 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-04-15 | 2016-04-16 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-04-15 | 2016-04-16 | N |
