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Deficiency Records for Windemere at Westover Hills
View the most recent health deficiencies and inspection results for Windemere at Westover Hills. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Windemere at Westover Hills. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-19 | 2025-12-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-19 | 2025-12-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-19 | 2025-12-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-19 | 2025-12-26 | 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 | 2025-12-19 | 2025-12-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-19 | 2025-12-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-16 | 2025-04-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-16 | 2025-04-17 | Y |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-09-13 | 2024-10-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-13 | 2024-10-28 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-09-13 | 2024-10-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-13 | 2024-10-28 | 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 | 2024-09-13 | 2024-10-28 | 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 | 2024-09-13 | 2024-10-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-09-13 | 2024-10-28 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2024-09-13 | 2024-10-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-13 | 2024-10-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-09-13 | 2024-10-28 | 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 | 2024-08-23 | 2024-10-04 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-18 | 2023-09-07 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2023-08-18 | 2023-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-18 | 2023-09-07 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-08-18 | 2023-09-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-18 | 2023-09-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-18 | 2023-09-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-18 | 2023-09-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-18 | 2023-09-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-18 | 2023-09-07 | N |