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Deficiency Records for Windsor Nursing and Rehabilitation Center of Mcall

A list of the most recent deficiencies for Windsor Nursing and Rehabilitation Center of Mcall. 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 Nursing and Rehabilitation Center of Mcall. 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2024-09-12 2024-09-27 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-09-12 2024-09-27 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 2024-09-12 2024-09-27 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 2024-09-12 2024-09-27 N
Provide and implement an infection prevention and control program. Health 2024-09-12 2024-09-27 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-08-09 2024-08-16 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 2024-08-09 2024-08-16 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-08-09 2024-08-16 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-03-01 2024-03-08 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-03-01 2024-03-08 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-03-01 2024-03-08 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-06-09 2023-06-13 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-06-08 2023-06-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-12 2023-05-26 Y
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-03-24 2022-05-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-03-24 2022-05-31 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-03-24 2022-05-31 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-03-23 2022-05-31 N
Provide properly protected cooking facilities. Fire Safety 2022-03-23 2022-05-31 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-03-23 2022-05-31 N
Install an approved automatic sprinkler system. Fire Safety 2022-03-23 2022-05-31 N
Have proper medical gas storage and administration areas. Fire Safety 2022-03-23 2022-05-31 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-03-23 2022-03-24 N

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