Deficiency Records for Windsor Nursing and Rehabilitation Center of Segui
Updated as of April 01, 2024
A list of the most recent deficiencies for Windsor Nursing and Rehabilitation Center of Segui. 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? |
|---|---|---|---|---|
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-03-22 | 2023-04-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-22 | 2023-04-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-22 | 2023-04-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-22 | 2023-04-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-22 | 2023-04-14 | 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 | 2023-03-22 | 2023-04-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-22 | 2023-04-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-22 | 2023-04-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-22 | 2023-04-14 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-22 | 2023-04-14 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-03-22 | 2023-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-22 | 2023-04-14 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-03-22 | 2023-04-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-22 | 2023-04-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-22 | 2023-04-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-19 | 2022-02-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-01-19 | 2022-02-04 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-01-19 | 2022-02-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-19 | 2022-02-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-19 | 2022-02-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-19 | 2022-02-04 | 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 | 2022-01-19 | 2022-02-04 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-01-19 | 2022-02-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-19 | 2022-02-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-19 | 2022-02-04 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2020-11-11 | 2020-12-10 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-11-11 | 2020-12-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-11-11 | 2020-12-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-11-11 | 2020-12-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-11-11 | 2020-12-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-11-11 | 2020-12-10 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-11-11 | 2020-12-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-11-11 | 2020-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-11 | 2020-12-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-11-10 | 2020-12-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-11-10 | 2020-12-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-11-10 | 2020-12-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-11-10 | 2020-12-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-11-10 | Not Fixed | N |
