Deficiency Records for Windsor Nursing and Rehabilitation Center of Alice
Updated as of November 01, 2023
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? |
|---|---|---|---|---|
| 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 | 2023-08-03 | 2023-08-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-03 | 2023-08-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-30 | 2023-04-21 | 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 | 2022-09-01 | 2022-09-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-01 | 2022-09-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-01 | 2022-09-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-01 | 2022-09-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-31 | 2022-09-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-31 | 2022-09-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-28 | 2022-06-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-10 | 2021-09-13 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-10 | 2021-06-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-10 | 2021-06-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-01-15 | 2021-02-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-12 | 2020-03-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-03-12 | 2020-03-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-12 | 2020-03-30 | 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 | 2020-03-12 | 2020-03-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-12 | 2020-03-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-03-12 | 2020-03-30 | 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 | 2020-03-12 | 2020-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-12 | 2020-03-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-10 | 2020-03-30 | N |
| 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 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-19 | Not Fixed | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-19 | Not Fixed | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-10 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-03-10 | Not Fixed | N |
