Deficiency Records for Windflower Health Center
Updated as of May 01, 2021
This is not the most recent data for Windflower Health Center. For the most recent information, click here.
A list of the most recent deficiencies for Windflower Health Center. 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 policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-23 | 2020-02-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-23 | 2020-02-29 | Y |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-12-19 | 2020-02-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-19 | 2020-02-02 | 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 | 2019-12-19 | 2020-02-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-12-19 | 2020-02-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-19 | 2020-02-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-19 | 2020-02-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-19 | 2020-02-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-19 | 2020-02-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-12-19 | 2020-02-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-19 | 2020-02-02 | 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 | 2019-12-19 | 2020-02-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-02-02 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-11-07 | 2018-12-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-07 | 2018-11-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-06 | 2018-11-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-11-07 | 2018-11-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-07 | 2018-11-21 | 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 | 2018-11-07 | 2018-11-21 | 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 | 2018-11-07 | 2018-11-21 | 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 | 2018-11-07 | 2018-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-07 | 2018-11-21 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2018-08-08 | 2018-08-09 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-10-17 | 2017-11-30 | 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 | 2017-10-17 | 2017-11-30 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2017-10-17 | 2017-11-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-10-18 | 2017-11-30 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-10-18 | 2017-11-30 | N |
