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Deficiency Records for Windsor Mission Oaks
A list of the most recent deficiencies for Windsor Mission Oaks. 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 Mission Oaks. 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? |
---|---|---|---|---|
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-23 | 2024-05-24 | Y |
Respond appropriately to all alleged violations. | Health | 2024-05-23 | 2024-05-24 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-08 | 2024-05-09 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2024-05-08 | 2024-05-09 | 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 | 2024-05-08 | 2024-05-09 | 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 | 2024-05-08 | 2024-05-09 | Y |
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 | 2024-05-08 | 2024-05-09 | Y |
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 | 2024-05-08 | 2024-05-09 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-08 | 2024-05-09 | Y |
Provide and implement an infection prevention and control program. | Health | 2024-05-08 | 2024-05-09 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-08 | 2024-05-09 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-05-08 | 2024-05-09 | Y |
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-05-08 | 2024-05-09 | Y |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-05-08 | 2024-05-09 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-07 | 2024-05-09 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-07 | 2024-05-09 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-07 | 2024-05-09 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-07 | 2024-05-09 | N |
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2024-05-07 | 2024-05-09 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-08 | 2024-05-08 | Y |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-07 | 2024-05-08 | N |
Ensure that residents are free from significant medication errors. | Health | 2023-07-02 | 2023-07-03 | 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 | 2023-03-31 | 2023-04-01 | N |
Keep residents' personal and medical records private and confidential. | Health | 2023-03-31 | 2023-04-01 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-03-31 | 2023-04-01 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-03-31 | 2023-04-01 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-31 | 2023-04-01 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-31 | 2023-04-01 | 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 | 2023-03-31 | 2023-04-01 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-31 | 2023-04-01 | N |
Dispose of garbage and refuse properly. | Health | 2023-03-31 | 2023-04-01 | 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 | 2023-03-31 | 2023-04-01 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-03-31 | 2023-04-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-30 | 2023-04-01 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-30 | 2023-04-01 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-30 | 2023-04-01 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-30 | 2023-04-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-30 | 2023-04-01 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-14 | 2022-05-16 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-14 | 2022-05-16 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-14 | 2022-05-16 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-26 | 2022-05-16 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-26 | 2022-05-16 | Y |
Respond appropriately to all alleged violations. | Health | 2022-04-26 | 2022-05-16 | Y |
Ensure each resident receives an accurate assessment. | Health | 2022-04-26 | 2022-05-16 | 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 | 2022-01-21 | 2022-02-10 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-21 | 2022-02-10 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-01-21 | 2022-02-10 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-27 | 2022-02-10 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-27 | 2022-02-10 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-02 | 2021-12-03 | Y |
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