Deficiency Records for Windsor Houston

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Updated as of May 01, 2024

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Deficiency Records for Windsor Houston

A list of the most recent deficiencies for Windsor Houston. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Windsor Houston. 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-01-22 2024-01-23 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 2024-01-22 2024-01-23 Y
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 2023-04-20 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-04-06 2023-04-20 Y
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 2023-04-20 Y
Dispose of garbage and refuse properly. Health 2023-04-06 2023-04-20 Y
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2023-04-06 2023-04-20 N
Ensure that residents are free from significant medication errors. Health 2023-03-09 2023-03-31 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-03-09 2023-03-31 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-02-03 2022-03-07 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 2022-02-03 2022-03-07 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 2022-02-03 2022-03-07 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-02-03 2022-02-04 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-12-28 2022-01-15 Y
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 2020-10-05 2020-11-08 N
Provide and implement an infection prevention and control program. Health 2020-10-05 2020-11-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-10-05 2020-10-30 N
Ensure medication error rates are not 5 percent or greater. Health 2020-10-05 2020-10-30 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 2020-10-05 2020-10-30 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2020-10-05 2020-10-30 N
Keep all essential equipment working safely. Health 2020-10-05 2020-10-30 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2020-10-05 2020-10-19 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2020-10-05 2020-10-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-09-30 2020-10-02 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2020-09-30 2020-10-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-22 Not Fixed Y

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