Deficiency Records for Windsor Calallen
Updated as of April 01, 2019
This is not the most recent data for Windsor Calallen. For the most recent information, click here.
A list of the most recent deficiencies for Windsor Calallen. 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? |
|---|---|---|---|---|
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-09-27 | 2018-10-15 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-27 | 2018-10-15 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-09-27 | 2018-10-15 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-09-27 | 2018-10-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-07 | 2018-07-15 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-01-30 | 2018-02-28 | 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 | 2018-01-30 | 2018-02-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-01-30 | 2018-02-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-30 | 2018-02-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-30 | 2018-02-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-01-30 | 2018-02-28 | N |
| Be properly staffed | Fire Safety | 2018-01-30 | 2018-02-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-02-02 | 2018-02-27 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-02-02 | 2018-02-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-02 | 2018-02-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-02-02 | 2018-02-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-02 | 2018-02-27 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-02-02 | 2018-02-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-02 | 2018-02-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-02 | 2018-02-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-02 | 2018-02-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-02 | 2018-02-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-02 | 2018-02-27 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-02-02 | 2018-02-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-02 | 2018-02-27 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-06-15 | 2017-06-28 | Y |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-02-02 | 2017-03-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-02-02 | 2017-03-01 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-02-03 | 2017-03-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-03 | 2017-03-01 | 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 | 2017-02-03 | 2017-03-01 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-02-03 | 2017-03-01 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-02-03 | 2017-03-01 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-02-03 | 2017-03-01 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-03 | 2017-03-01 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-02-03 | 2017-03-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-02-03 | 2017-03-01 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-02-03 | 2017-03-01 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-03 | 2017-03-01 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-03 | 2017-03-01 | Y |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-02-03 | 2017-03-01 | Y |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-09-17 | 2015-10-06 | N |
