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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? |
|---|---|---|---|---|
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2021-02-10 | 2021-03-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-02-10 | 2021-02-19 | 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 | 2021-02-11 | 2021-02-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-11 | 2021-02-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-02-11 | 2021-02-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-02-11 | 2021-02-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-11 | 2021-02-12 | N |
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