Deficiency Records for Windsor Nursing and Rehabilitation Center of Alice
Updated as of July 01, 2020
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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-03-10 | 2020-03-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-03-10 | 2020-03-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-10 | 2020-03-30 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-03-10 | 2020-03-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-03-10 | 2020-03-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-10 | 2020-03-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-10 | 2020-03-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-10 | 2020-03-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-10 | 2020-03-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-22 | 2019-04-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-19 | 2019-04-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-19 | 2019-04-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-19 | 2019-04-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-03-22 | 2019-04-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-22 | 2019-04-15 | N |
| Notify 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 | 2019-03-22 | 2019-04-15 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2019-03-22 | 2019-04-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-22 | 2019-04-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-22 | 2019-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-22 | 2019-04-15 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-03-22 | 2019-04-15 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-03-22 | 2019-04-15 | 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 | 2019-03-22 | 2019-04-15 | 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 | 2019-03-22 | 2019-04-15 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-03-22 | 2019-04-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-22 | 2019-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-22 | 2019-04-15 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2019-03-22 | 2019-04-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-04-13 | 2018-05-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-13 | 2018-05-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-13 | 2018-05-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-13 | 2018-05-12 | N |
| 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 |
| 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 |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-03-10 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-19 | Not Fixed | N |
