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Deficiency Records for Windsor Nursing and Rehabilitation Center of Duval
A list of the most recent deficiencies for Windsor Nursing and Rehabilitation Center of Duval. 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 Duval. 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 | 2024-05-18 | 2024-05-19 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-30 | 2024-02-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-30 | 2024-01-31 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-30 | 2024-01-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-30 | 2024-01-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-30 | 2024-01-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-27 | 2024-01-28 | 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 | 2024-01-27 | 2024-01-28 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-27 | 2024-01-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-27 | 2024-01-28 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-01-27 | 2024-01-28 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-27 | 2024-01-28 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-01-27 | 2024-01-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-27 | 2024-01-28 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-01-27 | 2024-01-28 | Y |
| Have policies on smoking. | Health | 2024-01-27 | 2024-01-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2023-12-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-04 | 2023-10-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-31 | 2023-06-02 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-17 | 2023-05-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-17 | 2023-05-22 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2023-05-17 | 2023-05-22 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-05-17 | 2023-05-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-01 | 2023-03-02 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-12-08 | 2022-12-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-17 | 2022-11-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-17 | 2022-11-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-17 | 2022-11-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-17 | 2022-11-18 | 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 | 2022-03-17 | 2022-03-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-27 | 2021-09-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-27 | 2021-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-27 | 2021-09-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-26 | 2021-09-15 | 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 | 2021-08-26 | 2021-09-15 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-08-26 | 2021-09-15 | N |
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