A list of the most recent deficiencies for Winchester Lodge Healthcare 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? |
|---|---|---|---|---|
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-20 | 2023-04-21 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-04-20 | 2023-04-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-20 | 2023-04-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-20 | 2023-04-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-20 | 2023-04-21 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-20 | 2023-04-21 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-04 | 2023-04-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-04 | 2023-04-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-15 | 2023-03-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-15 | 2023-03-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-15 | 2023-03-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-15 | 2023-03-15 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-02-15 | 2023-03-15 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-02-02 | 2022-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-31 | 2022-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-02 | 2022-02-21 | N |
| Dispose of garbage and refuse properly. | Health | 2022-02-02 | 2022-02-21 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-08-04 | 2021-08-09 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2020-10-09 | 2020-10-26 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-10-06 | 2020-10-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-06 | 2020-10-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-10-06 | 2020-10-26 | N |
