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Deficiency Records for Windsor Nursing and Rehabilitation Center of Segui
A list of the most recent deficiencies for Windsor Nursing and Rehabilitation Center of Segui. 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 Segui. 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? |
|---|---|---|---|---|
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-05-24 | 2024-05-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-24 | 2024-05-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-24 | 2024-05-25 | 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 | 2024-05-24 | 2024-05-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-24 | 2024-05-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-24 | 2024-05-25 | 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 | 2024-05-24 | 2024-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-24 | 2024-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-24 | 2024-05-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-24 | 2024-05-25 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-22 | 2024-05-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-22 | 2024-05-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-22 | 2024-05-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-21 | 2024-04-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-21 | 2024-04-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-21 | 2024-04-22 | Y |
| 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 | 2023-03-22 | 2023-04-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-22 | 2023-04-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-22 | 2023-04-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-22 | 2023-04-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-22 | 2023-04-14 | N |
| 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 | 2023-03-22 | 2023-04-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-22 | 2023-04-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-22 | 2023-04-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-22 | 2023-04-14 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-22 | 2023-04-14 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-03-22 | 2023-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-22 | 2023-04-14 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-03-22 | 2023-04-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-22 | 2023-04-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-22 | 2023-04-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-19 | 2022-02-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-01-19 | 2022-02-04 | 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 | 2022-01-19 | 2022-02-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-19 | 2022-02-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-19 | 2022-02-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-19 | 2022-02-04 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-01-19 | 2022-02-04 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-01-19 | 2022-02-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-19 | 2022-02-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-19 | 2022-02-04 | N |
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