Deficiency Records for Windsor Atrium
Updated as of March 01, 2023
This is not the most recent data for Windsor Atrium. For the most recent information, click here.
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? |
---|---|---|---|---|
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 |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-07-31 | 2020-08-21 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-07-31 | 2020-08-21 | 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 |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-31 | 2019-03-29 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-01-31 | 2019-03-29 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-01 | 2019-02-05 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-01 | 2019-02-05 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-02-01 | 2019-02-05 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-01 | 2019-02-05 | N |
Ensure the activities program is directed by a qualified professional. | Health | 2019-02-01 | 2019-02-05 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-01 | 2019-02-05 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-01 | 2019-02-05 | 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 | 2019-02-01 | 2019-02-05 | 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 | 2019-02-01 | 2019-02-05 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-02-01 | 2019-02-05 | N |
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 | 2019-02-01 | 2019-02-05 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-01 | 2019-02-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-01 | 2019-02-05 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-01 | 2019-02-05 | N |
Provide and implement an infection prevention and control program. | Health | 2019-02-01 | 2019-02-05 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-01 | 2019-02-05 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-01-31 | 2019-02-05 | N |
Provide primary/alternate means for communication. | Fire Safety | 2019-01-31 | 2019-02-01 | N |