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Deficiency Records for Windsor Convalescent Center of North Long Beach
A list of the most recent deficiencies for Windsor Convalescent Center of North Long Beach. 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 Convalescent Center of North Long Beach. 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? |
|---|---|---|---|---|
| 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 | 2024-08-08 | 2024-08-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-08 | 2024-08-22 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-06-28 | 2024-08-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-06 | 2024-08-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-28 | 2024-07-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-28 | 2024-07-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-28 | 2024-07-19 | N |
| 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 | 2024-06-28 | 2024-07-19 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-06-28 | 2024-07-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-28 | 2024-07-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-06-28 | 2024-07-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-28 | 2024-07-19 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-06-28 | 2024-07-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-06-28 | 2024-07-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-28 | 2024-07-19 | 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 | 2024-06-28 | 2024-07-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-28 | 2024-07-19 | 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 | 2024-06-28 | 2024-07-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-28 | 2024-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-28 | 2024-07-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-06-28 | 2024-07-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-28 | 2024-07-19 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-06-28 | 2024-07-19 | N |
| Keep all essential equipment working safely. | Health | 2024-06-28 | 2024-07-19 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-06-28 | 2024-07-19 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2024-06-27 | 2024-07-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-06-27 | 2024-07-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-27 | 2024-07-08 | 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 | 2024-06-27 | 2024-07-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-27 | 2024-07-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-27 | 2024-07-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-06-27 | 2024-07-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-27 | 2024-07-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-21 | 2024-06-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-19 | 2024-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-19 | 2024-02-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-12 | 2024-01-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-10 | 2023-06-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-03 | 2023-05-31 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-18 | 2023-05-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-03 | 2023-03-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-14 | 2023-01-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-12-14 | 2023-01-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-03 | 2022-08-08 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2021-10-19 | 2021-12-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-10-19 | 2021-12-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-19 | 2021-12-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-10-19 | 2021-12-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-19 | 2021-12-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-19 | 2021-12-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-19 | 2021-12-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-19 | 2021-11-23 | 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 | 2021-10-19 | 2021-11-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-10-19 | 2021-11-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-19 | 2021-11-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-19 | 2021-11-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-19 | 2021-11-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-19 | 2021-11-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-19 | 2021-11-23 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-10-19 | 2021-11-23 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-10-19 | 2021-11-23 | 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 | 2021-10-19 | 2021-11-23 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-10-19 | 2021-11-23 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-10-19 | 2021-11-23 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-10-19 | 2021-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-19 | 2021-11-23 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-10-19 | 2021-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-19 | 2021-11-23 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2019-12-05 | 2020-01-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-05 | 2020-01-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-05 | 2020-01-09 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-12-05 | 2020-01-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-05 | 2020-01-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-05 | 2020-01-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-05 | 2020-01-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-05 | 2020-01-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-24 | 2020-01-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-24 | 2020-01-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-24 | 2020-01-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-24 | 2020-01-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-24 | 2020-01-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-24 | 2020-01-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-24 | 2020-01-03 | 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 | 2019-11-24 | 2020-01-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-11-24 | 2020-01-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-24 | 2020-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-24 | 2020-01-03 | N |
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