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Deficiency Records for Windsor El Camino Care Center
A list of the most recent deficiencies for Windsor El Camino Care 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 El Camino Care 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-08-20 | 2024-09-11 | Y |
| 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 | 2024-08-20 | 2024-09-11 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-08-20 | 2024-09-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-19 | 2024-07-22 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-07-18 | 2024-07-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-02 | 2024-07-08 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-06-14 | 2024-06-27 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-09 | 2024-05-10 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-05-09 | 2024-05-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-29 | 2024-05-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-15 | 2024-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-15 | 2024-04-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-11 | 2024-03-27 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-12-19 | 2024-01-12 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-12-19 | 2024-01-12 | N |
| Use approved construction type or materials. | Fire Safety | 2023-12-19 | 2024-01-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-19 | 2024-01-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-19 | 2024-01-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-12-19 | 2024-01-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-19 | 2024-01-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-19 | 2024-01-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-12-19 | 2024-01-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-12-19 | 2024-01-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-12-19 | 2024-01-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-19 | 2024-01-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-19 | 2024-01-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-14 | 2024-01-09 | 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 | 2023-12-14 | 2024-01-09 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-12-14 | 2024-01-09 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-12-14 | 2024-01-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-14 | 2024-01-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-14 | 2024-01-09 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-12-14 | 2024-01-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-07 | 2023-11-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-20 | 2023-11-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-04 | 2023-10-18 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-18 | 2023-09-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-09 | 2023-08-25 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-01 | 2023-08-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-10 | 2023-07-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-05 | 2023-06-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-05 | 2023-06-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-24 | 2023-06-07 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-04-10 | 2023-05-02 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-02-10 | 2023-03-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-21 | 2023-03-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-02 | 2022-09-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-06 | 2022-09-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-29 | 2022-04-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-15 | 2022-03-31 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-02-11 | 2022-03-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-11 | 2022-03-10 | N |
| Provide activities to meet all resident's needs. | Health | 2022-02-11 | 2022-03-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-11 | 2022-03-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-11 | 2022-03-10 | 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 | 2022-02-11 | 2022-03-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-11 | 2022-03-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-11 | 2022-03-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-11 | 2022-03-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-11 | 2022-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-11 | 2022-03-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-02-11 | 2022-03-10 | N |
| Use approved construction type or materials. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-17 | 2022-03-07 | 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 | 2022-02-17 | 2022-03-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-17 | 2022-03-07 | N |
| Provide immediate access to any resident. | Health | 2021-10-12 | 2022-02-10 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-10-12 | 2022-02-10 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-10-12 | 2022-02-10 | Y |
| 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 | 2021-10-12 | 2022-02-10 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-12-27 | 2022-02-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-27 | 2022-02-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-27 | 2022-02-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-27 | 2022-02-04 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-12-27 | 2022-02-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-08 | 2022-01-18 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-10-07 | 2021-11-05 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2019-04-30 | 2019-05-16 | 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 | 2019-04-30 | 2019-05-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-30 | 2019-05-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-30 | 2019-05-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-04-30 | 2019-05-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-30 | 2019-05-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-30 | 2019-05-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-28 | 2019-04-02 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-02-28 | 2019-04-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-28 | 2019-04-02 | 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 | 2019-02-28 | 2019-04-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-28 | 2019-04-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-28 | 2019-04-02 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-02-28 | 2019-04-02 | N |
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