Deficiency Records for Windsor Nursing and Rehabilitation Center of Alice
Updated as of March 01, 2024
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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-07 | 2023-12-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-07 | 2023-12-28 | Y |
| Keep all essential equipment working safely. | Health | 2023-12-07 | 2023-12-28 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-05 | 2023-12-25 | 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 | 2023-11-02 | 2023-11-03 | Y |
| 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 |
| 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 |
