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Deficiency Records for Windsor Hampton Care Center
A list of the most recent deficiencies for Windsor Hampton 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 Hampton 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 heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-18 | 2024-07-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-06 | 2024-07-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-06 | 2024-07-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-06-06 | 2024-07-05 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-06-06 | 2024-07-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-06-06 | 2024-07-05 | 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 | 2024-06-06 | 2024-07-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-06 | 2024-07-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-06 | 2024-07-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-06-06 | 2024-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-06 | 2024-07-05 | 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 | 2024-06-06 | 2024-07-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-06 | 2024-07-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-06 | 2024-07-05 | 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 | 2024-06-06 | 2024-07-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-06 | 2024-07-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-06 | 2024-07-05 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-06-06 | 2024-07-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-06 | 2024-07-05 | 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 | 2024-06-06 | 2024-07-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-06 | 2024-07-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-06-06 | 2024-07-05 | 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 | 2024-06-06 | 2024-07-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-06 | 2024-07-05 | 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 | 2024-06-06 | 2024-07-05 | N |
| Provide or obtain dental services for each resident. | Health | 2024-06-06 | 2024-07-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-06 | 2024-07-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-06 | 2024-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-06 | 2024-07-05 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-06-06 | 2024-07-05 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-10 | 2024-06-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-06-10 | 2024-06-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-10 | 2024-06-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-10 | 2024-06-20 | 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 | 2024-06-10 | 2024-06-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-10 | 2024-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-10 | 2024-06-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-06-10 | 2024-06-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-10 | 2024-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-10 | 2024-06-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-10 | 2024-06-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-10 | 2024-06-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-10 | 2024-06-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-10 | 2024-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-10 | 2024-06-20 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-06-10 | 2024-06-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-10 | 2024-06-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-06-10 | 2024-06-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-20 | 2024-06-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-20 | 2024-06-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-15 | 2024-04-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-19 | 2024-04-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-27 | 2024-04-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-20 | 2024-03-29 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-20 | 2024-03-29 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-05 | 2024-03-20 | Y |
| Use approved construction type or materials. | Fire Safety | 2024-02-06 | 2024-02-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-16 | 2024-01-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-02 | 2024-01-26 | 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 | 2023-11-06 | 2023-11-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-10 | 2023-09-25 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2023-06-14 | 2023-07-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-14 | 2023-07-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-06-14 | 2023-07-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-14 | 2023-07-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-06-14 | 2023-07-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-14 | 2023-07-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-14 | 2023-07-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-06-14 | 2023-07-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-14 | 2023-07-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-08 | 2023-06-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-08 | 2023-06-30 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-06-08 | 2023-06-30 | 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 | 2023-06-08 | 2023-06-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-06-08 | 2023-06-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-08 | 2023-06-30 | 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 | 2023-06-08 | 2023-06-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-08 | 2023-06-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-08 | 2023-06-30 | N |
| Provide activities to meet all resident's needs. | Health | 2023-06-08 | 2023-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-08 | 2023-06-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-08 | 2023-06-30 | 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 | 2023-06-08 | 2023-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-08 | 2023-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-08 | 2023-06-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-08 | 2023-06-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-08 | 2023-06-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-08 | 2023-06-30 | 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 | 2023-06-08 | 2023-06-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-08 | 2023-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-08 | 2023-06-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-08 | 2023-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-08 | 2023-06-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-18 | 2023-06-02 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-05-02 | 2023-05-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-14 | 2022-10-17 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-09-14 | 2022-10-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-24 | 2022-08-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-27 | 2022-05-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-22 | 2022-03-22 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-01-04 | 2022-02-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-10 | 2021-12-09 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2019-05-24 | 2019-06-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-24 | 2019-06-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-24 | 2019-06-20 | 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 | 2019-05-24 | 2019-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-24 | 2019-06-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-24 | 2019-06-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-24 | 2019-06-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-24 | 2019-06-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-05 | 2019-05-01 | 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 | 2019-04-05 | 2019-05-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-05 | 2019-05-01 | N |
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