Deficiency Records for Winters Park Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Winters Park Nursing and Rehabilitation 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 a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-07 | 2023-12-15 | 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 | 2023-12-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-07 | 2023-11-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-19 | 2023-09-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-12 | 2023-09-15 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-09-12 | 2023-09-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-22 | 2023-07-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-22 | 2023-07-23 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-07-22 | 2023-07-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-22 | 2023-07-23 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-06-22 | 2023-07-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-09 | 2023-02-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-06 | 2022-11-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-06 | 2022-11-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-06 | 2022-11-11 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-10-06 | 2022-11-11 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-10-06 | 2022-11-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-10-05 | 2022-11-11 | 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 | 2022-10-05 | 2022-11-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-05 | 2022-11-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-05 | 2022-11-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-05 | 2022-11-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-05 | 2022-11-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-05 | 2022-11-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-05 | 2022-11-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-09-06 | 2022-10-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2022-01-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-08 | 2021-08-22 | 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 | 2021-07-08 | 2021-08-22 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-07-08 | 2021-08-22 | 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 | 2021-07-08 | 2021-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-08 | 2021-08-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-08 | 2021-08-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-08 | 2021-08-22 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-07-08 | 2021-08-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-08 | 2021-08-22 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-07-08 | 2021-08-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-08 | 2021-08-22 | 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 | 2021-03-26 | 2021-03-29 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-03-26 | 2021-03-29 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-09-20 | 2019-10-14 | N |
| Post nurse staffing information every day. | Health | 2019-09-20 | 2019-10-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-20 | 2019-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-20 | 2019-10-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-09-20 | 2019-10-14 | N |
| Have policies on smoking. | Health | 2019-09-20 | 2019-10-14 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-09-19 | 2019-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-19 | 2019-10-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-19 | 2019-10-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-19 | 2019-10-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-19 | 2019-10-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-19 | 2019-10-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-19 | 2019-10-01 | N |
