A list of the most recent deficiencies for Windsor Atrium. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-06 | 2023-04-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-06 | 2023-04-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-06 | 2023-04-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-06 | 2023-04-21 | 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 | 2023-04-06 | 2023-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-06 | 2023-04-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-06 | 2023-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-06 | 2023-04-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-04 | 2023-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-17 | 2023-03-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-23 | 2022-06-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-23 | 2022-06-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-23 | 2022-06-22 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-23 | 2022-06-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-23 | 2022-06-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-06 | 2022-04-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-06 | 2022-04-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-03 | 2022-03-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-03 | 2022-03-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-27 | 2022-02-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-30 | 2021-08-17 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-07-02 | 2021-05-24 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-26 | 2020-04-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-26 | 2020-03-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-27 | 2020-02-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-27 | 2020-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-02-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-26 | 2020-02-28 | N |
