Deficiency Records for Windsor Nursing and Rehabilitation Center of Alice
Updated as of June 01, 2018
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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-02-28 | 2018-03-28 | 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 | 2018-02-28 | 2018-03-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-06-09 | 2017-06-30 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-06-09 | 2017-06-30 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-06-09 | 2017-06-30 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-20 | 2017-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-20 | 2017-05-15 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-04-19 | 2017-04-29 | N |
| Hire a qualified dietician. | Health | 2017-04-20 | 2017-04-29 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-04-20 | 2017-04-29 | Y |
| 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 | 2017-04-20 | 2017-04-29 | Y |
| 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 | 2017-04-20 | 2017-04-29 | Y |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2017-04-20 | 2017-04-29 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-03-30 | 2017-04-29 | Y |
| 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 | 2017-03-30 | 2017-04-29 | Y |
| 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 |
| 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 |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-05-18 | 2016-06-08 | N |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2016-05-18 | 2016-06-07 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-05-18 | 2016-06-07 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-05-18 | 2016-06-07 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-05-18 | 2016-06-07 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2016-05-18 | 2016-06-06 | 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 |
| 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 |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-05-14 | 2015-06-12 | N |
| Portable fire extinguishers. | Fire Safety | 2015-05-13 | 2015-05-14 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-05-18 | Not Fixed | N |
