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Deficiency Records for Windsor Elk Grove Care and Rehabilitation Center

A list of the most recent deficiencies for Windsor Elk Grove Care and Rehabilitation Center. 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 Elk Grove Care and Rehabilitation Center. 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?
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-06-27 2024-07-26 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-13 2024-03-13 Y
Keep residents' personal and medical records private and confidential. Health 2024-02-16 2024-03-12 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 2024-02-16 2024-03-12 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2024-02-16 2024-03-12 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-02-16 2024-03-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-16 2024-03-12 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-02-16 2024-03-12 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-02-16 2024-03-12 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-02-16 2024-03-12 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 2024-02-16 2024-03-12 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-02-16 2024-03-12 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-02-16 2024-03-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-16 2024-03-12 N
Provide and implement an infection prevention and control program. Health 2024-02-16 2024-03-12 N
Keep all essential equipment working safely. Health 2024-02-16 2024-03-12 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-02-16 2024-03-12 N
List the names and contact information of those in the facility. Fire Safety 2024-02-21 2024-03-12 N
Conduct testing and exercise requirements. Fire Safety 2024-02-21 2024-03-12 N
Implement emergency and standby power systems. Fire Safety 2024-02-21 2024-03-12 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-02-21 2024-03-12 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 2024-02-21 2024-03-12 N
Provide properly protected cooking facilities. Fire Safety 2024-02-21 2024-03-12 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-02-21 2024-03-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-21 2024-03-12 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-02-21 2024-03-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-02-21 2024-03-12 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-02-21 2024-03-12 N
Meet requirements for the use of electrical equipment. Fire Safety 2024-02-21 2024-03-12 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-02-21 2024-03-12 N
Have proper medical gas storage and administration areas. Fire Safety 2024-02-21 2024-03-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-22 2023-12-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-22 2023-12-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-17 2023-12-17 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-10-20 2023-10-27 Y
Dispose of garbage and refuse properly. Health 2023-10-20 2023-10-27 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-10-20 2023-10-27 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-06-26 2023-07-10 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-04-25 2023-05-15 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2023-04-25 2023-05-15 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-04-05 2023-04-28 Y
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-01-11 2023-02-10 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-01-11 2023-02-10 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-12-14 2023-01-03 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-06 2022-10-27 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-10-06 2022-10-27 Y
Use approved construction type or materials. Fire Safety 2022-03-08 2022-04-13 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-03-08 2022-04-13 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 2022-03-08 2022-04-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-03-08 2022-04-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-03-08 2022-04-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-03-08 2022-04-13 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-03-08 2022-04-13 N
Have proper medical gas storage and administration areas. Fire Safety 2022-03-08 2022-04-13 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-03-03 2022-03-25 N
Provide activities to meet all resident's needs. Health 2022-03-03 2022-03-25 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-03-03 2022-03-25 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-03-03 2022-03-25 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-03-03 2022-03-25 N
Ensure medication error rates are not 5 percent or greater. Health 2022-03-03 2022-03-25 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 2022-03-03 2022-03-25 N
Keep complete, dated laboratory records in the resident's record. Health 2022-03-03 2022-03-25 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-03-03 2022-03-25 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-03-03 2022-03-25 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2021-12-22 2022-01-11 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2021-10-20 2021-11-09 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-10-05 2021-10-17 Y
Address patient/client population and determine types of services needed. Fire Safety 2019-07-09 2019-07-31 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2019-07-09 2019-07-31 N
Provide emergency officials' contact information. Fire Safety 2019-07-09 2019-07-31 N
Establish staff and initial training requirements. Fire Safety 2019-07-09 2019-07-31 N
Conduct testing and exercise requirements. Fire Safety 2019-07-09 2019-07-31 N
Implement emergency and standby power systems. Fire Safety 2019-07-09 2019-07-31 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-07-09 2019-07-31 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-07-09 2019-07-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-07-09 2019-07-31 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-07-09 2019-07-31 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-07-09 2019-07-31 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-07-09 2019-07-31 N
Meet requirements for the use of electrical equipment. Fire Safety 2019-07-09 2019-07-31 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-07-09 2019-07-31 N
Have proper medical gas storage and administration areas. Fire Safety 2019-07-09 2019-07-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-05-24 2019-06-20 N
Provide activities to meet all resident's needs. Health 2019-05-24 2019-06-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-05-24 2019-06-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-05-24 2019-06-20 N
Provide and implement an infection prevention and control program. Health 2019-05-24 2019-06-20 N

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