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Deficiency Records for Winchester Lodge Healthcare Center

A list of the most recent deficiencies for Winchester Lodge Healthcare Center. 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 Winchester Lodge Healthcare Center. 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?
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 2024-06-28 2024-07-26 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 2024-06-28 2024-07-26 Y
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-06-26 2024-07-19 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-06-26 2024-06-27 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-06-26 2024-06-27 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-06-26 2024-06-27 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-04-06 2024-04-24 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-04-20 2023-04-21 Y
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 2023-04-20 2023-04-21 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-20 2023-04-21 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-04-20 2023-04-21 Y
Provide and implement an infection prevention and control program. Health 2023-04-20 2023-04-21 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-04-20 2023-04-21 Y
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-04-04 2023-04-06 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-04-04 2023-04-06 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-15 2023-03-15 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-02-15 2023-03-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-15 2023-03-15 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-02-15 2023-03-15 Y
Provide routine and 24-hour emergency dental care for each resident. Health 2023-02-15 2023-03-15 Y
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2022-02-02 2022-02-28 N
Provide properly protected cooking facilities. Fire Safety 2022-01-31 2022-02-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-02 2022-02-21 N
Dispose of garbage and refuse properly. Health 2022-02-02 2022-02-21 N

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