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Deficiency Records for Windsor Mission Oaks
View the most recent health deficiencies and inspection results for Windsor Mission Oaks. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Windsor Mission Oaks. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-06-27 | 2025-06-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-06-27 | 2025-06-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-06-27 | 2025-06-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-06-27 | 2025-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-27 | 2025-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-27 | 2025-06-28 | 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 | 2025-06-27 | 2025-06-28 | 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 | 2025-06-27 | 2025-06-28 | 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 | 2025-06-27 | 2025-06-28 | 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 | 2025-06-27 | 2025-06-28 | 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 | 2025-06-27 | 2025-06-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-06-27 | 2025-06-28 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2025-06-27 | 2025-06-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-23 | 2024-05-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-23 | 2024-05-24 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-05-08 | 2024-05-09 | 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 | 2024-05-08 | 2024-05-09 | 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 | 2024-05-08 | 2024-05-09 | Y |
| 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 | 2024-05-08 | 2024-05-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-08 | 2024-05-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-08 | 2024-05-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-08 | 2024-05-09 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-05-08 | 2024-05-09 | Y |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-05-08 | 2024-05-09 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-05-08 | 2024-05-09 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-05-08 | 2024-05-09 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-08 | 2024-05-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-08 | 2024-05-09 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-08 | 2024-05-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-08 | 2024-05-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-08 | 2024-05-09 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2024-05-08 | 2024-05-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-08 | 2024-05-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-08 | 2024-05-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-02 | 2023-07-03 | 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 | 2023-03-31 | 2023-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-31 | 2023-04-01 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-31 | 2023-04-01 | 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 | 2023-03-31 | 2023-04-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-03-31 | 2023-04-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-31 | 2023-04-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-31 | 2023-04-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-31 | 2023-04-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-03-31 | 2023-04-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-31 | 2023-04-01 | 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 | 2023-03-31 | 2023-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-31 | 2023-04-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-31 | 2023-04-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-31 | 2023-04-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-31 | 2023-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-31 | 2023-04-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-06-27 | Not Fixed | N |