Deficiency Records for Windsor Nursing and Rehabilitation Center of Alice
Updated as of January 01, 2017
This is not the most recent data for Windsor Nursing and Rehabilitation Center of Alice. For the most recent information, click here.
A list of the most recent deficiencies for Windsor Nursing and Rehabilitation Center of Alice. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2016-05-19 | 2016-06-24 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-05-19 | 2016-06-24 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-05-19 | 2016-06-24 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-05-19 | 2016-06-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-19 | 2016-06-24 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-05-19 | 2016-06-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-19 | 2016-06-24 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-05-19 | 2016-06-24 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-05-19 | 2016-06-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-05-19 | 2016-06-24 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-05-19 | 2016-06-24 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-05-19 | 2016-06-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-05-19 | 2016-06-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-05-19 | 2016-06-24 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-05-19 | 2016-06-24 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-05-19 | 2016-06-24 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-05-19 | 2016-06-24 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-19 | 2016-06-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-05-19 | 2016-06-24 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-05-19 | 2016-06-24 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-05-19 | 2016-06-24 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-05-19 | 2016-06-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-19 | 2016-06-24 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-05-19 | 2016-06-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-19 | 2016-06-24 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-05-19 | 2016-06-24 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-05-19 | 2016-06-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-05-19 | 2016-06-24 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-05-19 | 2016-06-24 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-05-19 | 2016-06-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-05-19 | 2016-06-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-05-19 | 2016-06-24 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-05-19 | 2016-06-24 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-05-19 | 2016-06-24 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-05-19 | 2016-06-24 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-19 | 2016-06-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-05-19 | 2016-06-24 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-05-19 | 2016-06-24 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-05-19 | 2016-06-24 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-05-19 | 2016-06-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-19 | 2016-06-24 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-05-19 | 2016-06-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-19 | 2016-06-24 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-05-19 | 2016-06-24 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-05-19 | 2016-06-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-05-19 | 2016-06-24 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-05-19 | 2016-06-24 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-05-19 | 2016-06-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-05-19 | 2016-06-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-05-19 | 2016-06-24 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-05-19 | 2016-06-24 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-05-19 | 2016-06-24 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-05-19 | 2016-06-24 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-19 | 2016-06-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-05-19 | 2016-06-17 | N |
| Dispose of garbage and refuse properly. | Health | 2016-05-19 | 2016-06-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-05-19 | 2016-06-17 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2016-05-19 | 2016-06-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-05-19 | 2016-06-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-05-19 | 2016-06-17 | N |
| Dispose of garbage and refuse properly. | Health | 2016-05-19 | 2016-06-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-05-19 | 2016-06-17 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2016-05-19 | 2016-06-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-05-19 | 2016-06-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-05-19 | 2016-06-17 | N |
| Dispose of garbage and refuse properly. | Health | 2016-05-19 | 2016-06-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-05-19 | 2016-06-17 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2016-05-19 | 2016-06-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-05-19 | 2016-06-17 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-05-19 | 2016-06-14 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-05-19 | 2016-06-14 | N |
| Provide food in a way that meets a resident's needs. | Health | 2016-05-19 | 2016-06-14 | N |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2016-05-19 | 2016-06-14 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-05-19 | 2016-06-14 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-05-19 | 2016-06-14 | N |
| Provide food in a way that meets a resident's needs. | Health | 2016-05-19 | 2016-06-14 | N |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2016-05-19 | 2016-06-14 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-05-19 | 2016-06-14 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-05-19 | 2016-06-14 | N |
| Provide food in a way that meets a resident's needs. | Health | 2016-05-19 | 2016-06-14 | N |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2016-05-19 | 2016-06-14 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-19 | 2016-06-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-19 | 2016-06-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-19 | 2016-06-10 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-05-19 | 2016-05-20 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-05-19 | 2016-05-20 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-05-19 | 2016-05-20 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-05-19 | 2016-05-20 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-05-19 | 2016-05-20 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-05-19 | 2016-05-20 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-05-19 | 2016-05-19 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-05-19 | 2016-05-19 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-05-19 | 2016-05-19 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-12-03 | 2016-01-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-03 | 2016-01-15 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-12-03 | 2016-01-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-03 | 2016-01-15 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-12-03 | 2016-01-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-03 | 2016-01-15 | Y |
| Provide residents with private access to a telephone. | Health | 2015-05-14 | 2015-06-28 | N |
| Provide residents with private access to a telephone. | Health | 2015-05-14 | 2015-06-28 | N |
| Provide residents with private access to a telephone. | Health | 2015-05-14 | 2015-06-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-05-14 | 2015-06-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-05-14 | 2015-06-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-05-14 | 2015-06-12 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2014-05-22 | 2014-06-20 | Y |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2014-05-22 | 2014-06-20 | Y |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2014-05-22 | 2014-06-20 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-05-22 | 2014-05-22 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-05-22 | 2014-05-22 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-05-22 | 2014-05-22 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-05-22 | 2014-05-22 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-05-22 | 2014-05-22 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-05-22 | 2014-05-22 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2014-04-24 | Not Fixed | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2014-04-24 | Not Fixed | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-04-24 | Not Fixed | N |
| Provide written records when a resident is transferred or discharged. | Health | 2014-04-24 | Not Fixed | Y |
| Tell the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2014-04-24 | Not Fixed | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2014-04-24 | Not Fixed | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2014-04-24 | Not Fixed | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-04-24 | Not Fixed | N |
| Provide written records when a resident is transferred or discharged. | Health | 2014-04-24 | Not Fixed | Y |
| Tell the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2014-04-24 | Not Fixed | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2014-04-24 | Not Fixed | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2014-04-24 | Not Fixed | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-04-24 | Not Fixed | N |
| Provide written records when a resident is transferred or discharged. | Health | 2014-04-24 | Not Fixed | Y |
| Tell the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2014-04-24 | Not Fixed | Y |
