Deficiency Records for Windsor Quail Valley Post-Acute Healthcare
Updated as of August 01, 2018
This is not the most recent data for Windsor Quail Valley Post-Acute Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for Windsor Quail Valley Post-Acute Healthcare. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-14 | 2018-04-06 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-01-27 | 2018-02-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-27 | 2018-02-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-01-27 | 2018-02-21 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-02 | 2017-11-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-13 | 2017-11-06 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-13 | 2017-11-06 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-10-13 | 2017-11-06 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-13 | 2017-11-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-13 | 2017-11-06 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-10-13 | 2017-11-06 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-13 | 2017-11-06 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-13 | 2017-11-06 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-02-01 | 2017-02-28 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-04 | 2016-12-05 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-11-04 | 2016-12-05 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-04 | 2016-12-05 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2016-11-04 | 2016-12-05 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-11-04 | 2016-12-05 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-04 | 2016-12-05 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-11-04 | 2016-12-05 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-11-04 | 2016-12-05 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-04 | 2016-12-05 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-11-04 | 2016-12-05 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-04 | 2016-12-05 | Y |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-11-04 | 2016-12-05 | Y |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-11-04 | 2016-12-05 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-03-24 | 2016-03-27 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-03-16 | 2016-03-27 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-01-13 | 2016-01-15 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-12-17 | 2015-12-19 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-11-17 | 2015-12-14 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-11-17 | 2015-12-14 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-11-17 | 2015-12-14 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-11-17 | 2015-12-14 | N |
| Portable fire extinguishers. | Fire Safety | 2015-11-17 | 2015-12-14 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-11-17 | 2015-12-14 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-11-17 | 2015-12-14 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-11-19 | 2015-12-01 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-11-19 | 2015-12-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-11-19 | 2015-12-01 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2015-11-19 | 2015-12-01 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2015-11-19 | 2015-12-01 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2015-11-19 | 2015-12-01 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-09-26 | 2015-10-16 | Y |
