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Deficiency Records for Windcrest Health and Rehab Inc

A list of the most recent deficiencies for Windcrest Health and Rehab Inc. 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 Windcrest Health and Rehab Inc. 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?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-03 2023-12-03 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-11-03 2023-12-02 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2023-11-02 2023-12-02 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-03-30 2023-04-29 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-07-29 2022-08-26 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-07-29 2022-08-26 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-07-29 2022-08-26 N
Ensure each resident receives an accurate assessment. Health 2022-07-29 2022-08-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-07-29 2022-08-26 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 2022-07-29 2022-08-26 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-07-29 2022-08-26 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-07-29 2022-08-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-29 2022-08-26 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 2022-07-29 2022-08-26 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 2022-07-29 2022-08-26 N
Provide or obtain dental services for each resident. Health 2022-07-29 2022-08-26 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2022-07-29 2022-08-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-29 2022-08-26 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2022-07-29 2022-08-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-05-07 2021-06-05 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2021-05-07 2021-06-05 N
Ensure each resident receives an accurate assessment. Health 2021-05-07 2021-06-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-05-07 2021-06-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-05-07 2021-06-05 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-05-07 2021-06-05 N
Ensure medication error rates are not 5 percent or greater. Health 2021-05-07 2021-06-05 N
Install proper backup exit lighting. Fire Safety 2021-05-03 2021-06-05 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2021-05-03 2021-06-05 N
Have an alternate power supply for its alarm system. Fire Safety 2021-05-03 2021-06-05 N
Install an approved automatic sprinkler system. Fire Safety 2021-05-03 2021-06-05 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-05-03 2021-06-05 N

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