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Deficiency Records for Windsor Woods Rehab and Healthcare Center

A list of the most recent deficiencies for Windsor Woods Rehab and Healthcare 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 Woods Rehab and Healthcare 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-06-06 2024-07-06 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-06-06 2024-07-06 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-06 2024-07-06 N
Provide care or services that was trauma informed and/or culturally competent. Health 2024-06-06 2024-07-06 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 2024-07-06 N
Ensure medication error rates are not 5 percent or greater. Health 2024-06-06 2024-07-06 N
Keep residents' personal and medical records private and confidential. Health 2022-08-04 2022-09-04 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 2022-08-04 2022-09-04 N
Provide enough food/fluids to maintain a resident's health. Health 2022-08-04 2022-08-28 N
Provide activities to meet all resident's needs. Health 2022-08-04 2022-08-27 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 2022-08-04 2022-08-27 N
Provide and implement an infection prevention and control program. Health 2022-08-04 2022-08-27 N
Keep all essential equipment working safely. Health 2022-08-04 2022-08-27 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-08-04 2022-08-27 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-08-04 2022-08-27 Y
Provide or get specialized rehabilitative services as required for a resident. Health 2022-08-04 2022-08-27 Y
Meet other general requirements. Fire Safety 2022-08-02 2022-08-27 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-08-02 2022-08-27 N
Provide properly protected cooking facilities. Fire Safety 2022-08-02 2022-08-27 N
Have proper medical gas storage and administration areas. Fire Safety 2021-03-23 2021-04-26 N

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