Resident Complaints » Windsor Health & Rehabilitation Center

  1. Health Inspection on April 2, 2019 [1]

    1. Isolated: Immediate jeopardy to the resident health or safety
      • Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. (Corrected 2019-05-07)
    2. Pattern: Actual harm that is not immediate jeopardy
      • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2019-05-07)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-05-07)
      • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2019-05-07)
      • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-05-07)
    3. Isolated: Actual harm that is not immediate jeopardy
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-05-07)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-05-07)
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-05-07)
      • Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. (Corrected 2019-05-07)
      • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2019-05-07)
      • Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. (Corrected 2019-05-07)
      • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-05-07)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-05-07)
    4. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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. (Corrected 2019-05-07)
      • Post nurse staffing information every day. (Corrected 2019-05-07)
    5. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-05-07)
      • Respond appropriately to all alleged violations. (Corrected 2019-05-07)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-05-07)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-05-07)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-05-07)
      • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2019-05-07)
    6. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (Corrected 2019-05-07)
      • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-05-07)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-05-07)
      • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-05-07)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-05-07)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2019-05-07)
      • 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. (Corrected 2019-05-07)
      • Ensure each resident receives an accurate assessment. (Corrected 2019-05-07)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-05-07)

  2. Health Inspection on August 22, 2018 [1]

    1. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2018-09-14)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-09-14)
      • 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. (Corrected 2018-09-14)

You may file a complaint with your state if you have a concern about the quality of care you or your family member gets from a nursing home and do not get a satisfactory resolution from your nursing home.

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References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html