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Windsor Elmhaven Care Center
6940 Pacific Avenue, Stockton, CA 95207
Based on 54 reviews
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Services and Housing OptionsMemory Care, Nursing Home, Respite, Skilled Nursing, Rehabilitation
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Windsor Elmhaven Care Center DescriptionWindsor Elmhaven Care Center is a skilled nursing facility that provides short-term, long-term and rehabilitation services. We strive to help our residents increase their independence and reach their highest level of functionality. to provide the highest quality education possible Windsor Elmhaven was founded with the goal of providing the best possible education. The person you love is amazing and deserves nothing but the best. They will always be treated with respect and dignity.
RehabilitationOur rehab team is here to help you or your loved one reach your health goals efficiently and effectively. We collaborate with physical, occupational and speech therapists to achieve these aspirations of independence. We provide top-of-the-line equipment and highly trained staff to achieve the balance of making this possible. Windsor's goal is to get residents back home safely and quickly.
Skilled NursingOur center is dedicated to providing the highest level of medical and nursing care possible. In an atmosphere that is both comfortable and professional, physicians and other highly-skilled professionals work together to provide the best possible care for each patient. The skilled nurses and certified nursing assistants provide top-notch care, helping patients with everything from getting in and out of bed to bathing and dressing.
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ServicesWindsor Elmhaven Care Center offers a wide range of skilled nursing programs, post acute services, and Nursing Advantage Rehabilitation Services. The highly trained and experienced staff is dedicated to providing quality care to meet each individual's needs. Their Nursing Advantage Rehabilitation Service includes physical, occupational, and speech therapy as well as specialized programs for those with Alzheimer’s or other forms of dementia. They also offer wound care, pain management, IV therapy, and nutrition services to ensure that each resident receives the best care possible.
Skilled Nursing Services and AmenitiesWindsor Elmhaven Care Center offers a variety of skilled nursing services and amenities to ensure the highest quality of care for residents. The onsite medical director coordinates and improves the medical services available, including ileostomy care, nutrition & hydration programs, medication management & education, pain management, bowel & bladder programs, and more. The center also provides a model environment for nurse training, in-house on-going continued learning courses and CNA training programs, and access to a psychologist and social worker.
bathing and dressing
blood glucose monitoring
speech and language pathology
bathing, dressing and grooming
24-hour skilled nursing care
enteral feeding program
complex wound care
diabetic management & education
bowel & bladder programs
activities of daily living
Information from Centers for Medicare & Medicaid ServicesThis nursing community has been given an overall rating of 1 out of 5 stars by The Center for Medicare and Medicaid receiving 1 stars on its health inspection, 3 stars on its quality measures rating, and 2 stars on its staffing rating. Within the quality measure rating, each facility is given a short-stay rating and a long-stay rating. This facility received a 3-star short-stay rating and a 3-star long-stay rating. This nursing home is certified by Medicare and Medicaid and was first approved to provide Medicare and Medicaid services on 04/03/67 and is run by a for profit organization. It is a large-sized nursing community with 128 nursing beds. Currently, there are 108 residents within the nursing community. Be advised these resident occupancy numbers are not always up to date and are collected from the Center for Medicare and Medicaid Services website periodically.
Alerts from Centers for Medicare & Medicaid ServicesThis community has been cited for abuse by The Center for Medicare and Medicaid Services. Either the facility has been cited in inspection reports for abuse that caused a resident harm within the past year or abuse that could have potentially caused residents harm in the past two years. This facility has not been given a health inspection within the last 2 years. This facility has been given 7 fines by The Centers for Medicare & Medicaid Services for a total of $24,195.83. The facility has also had 34 substantiated complaints reported in the last 3 years that resulted in a citation. The facility has had 20 facility incidents reported in the last 3 years that resulted in a citation.
Overall RatingsWindsor Elmhaven Care Center is a nursing home that unfortunately has garnered a 1-star overall rating - the lowest possible score. This places the facility in the bottom 20% of nursing homes in terms of overall ratings, falling significantly below the state average. Their health inspection rating is equally disconcerting, also achieving just 1 star. This is particularly concerning as it situates the nursing home in the bottom 10% of facilities based on health inspection ratings, also below the state average. In terms of quality rating, Windsor Elmhaven Care Center doesn't fare much better, falling in the bottom 40% of facilities, which is once again lower than the state average.
Staff RatingsWindsor Elmhaven Care Center, a nursing home facility, is worth noting for its mixed staffing credentials. The institution has been given a lackluster 2-star staff rating, positioning it within the lower end of the quality scale. The home's nursing aid staffing hours are 2.02 per resident per day, placing it in the bottom 40% of similar facilities and falling short of the state average of 2.51 hours. However, in terms of Licensed Practical Nurse (LPN) staffing hours, it shines by providing 1.74 hours per resident per day - a commendable figure that surpasses the state's 1.21 hours and places it in the top 10% of nursing homes. Unfortunately, the same cannot be said of its Registered Nurse (RN) staffing hours with a lower-than-state-average figure of 0.42 hours per resident per day, making it fall in the bottom 30% of facilities. The licensed staffing hours are again a high point, with 2.16 hours per resident per day, exceeding the state average of 1.78 hours and positioning it within the top 10% of facilities. Yet, there is an area of concern in the field of physical therapist staffing hours, where it provides a minimal 0.02 hours per resident per day, much lower than the state's average of 0.09, hence placing it in the bottom 30% in that regard.
Covid DataThe Windsor Elmhaven Care Center is lagging behind in terms of vaccination rates for both residents and staff. Specifically, it is among the bottom 30% of all facilities when considering the proportion of residents up to date with their vaccinations. This standing is evidenced by the 50.0% resident vaccination rate, significantly below the state average of 68.7%. Moreover, this situation extends to its staff members, where the care center falls in the bottom half of facilities for staff vaccination rates - only 12.9% of the staff are current with their vaccinations, a figure markedly less than the state average of 45.8%. There are clearly serious health concerns due to inadequate vaccination coverage in this nursing home.
Quality MeasuresThe Windsor Elmhaven Care Center, a nursing home, has some considerable challenges in terms of resident care. The facility falls within the bottom 20% of nursing homes due to a high percentage, 10.09%, of residents losing excessive weight, in contrast to the statewide figure of 5.14%. Moreover, the center resides in the lower 30% of facilities where 20.71% of residents have experienced a worsening in their ability to move independently, significantly greater than the state's percentage at 10.72%. The situation is further compounded with the nursing home's standing in the bottom 30% regarding the occurrence of ulcers among residents, presenting a rate of 10.7%, higher than the state's percentage of 7.75%. However, it's worth noting that Windsor Elmhaven does excel in one area—falling in the top 20% of centers where the need for help with daily activities among residents has increased. In this case, the percentage is 8.46%, slightly lower than the state's percentage at 8.52%.
Emergency and Hospitalization Quality MeasuresThe Windsor Elmhaven Care Center, unfortunately, currently finds itself in the lower echelons of ranked nursing home facilities. In terms of hospitalizations per 1000 days, it stands in the bottom 20%, with a rate of 2.54, which is significantly higher than the state's average of 1.89. The outpatient emergency department visits at the facility are also above the norm, sitting at 2.18 per 1000 days, a number that places the Care Center in the bottom 10% compared to other facilities, and substantially more than the state's average of 0.92. Furthermore, the Center finds itself in the bottom 40% of facilities when considering the percent of short-stay residents who had outpatient emergency department visits. At 14.42%, this figure is considerably higher than the state's average of 11.22%. Lastly, the rehospitalization rate of short-stay residents post a nursing home admission rests at 27.72%, a rate higher than the state's average of 22.01%, thus placing the Windsor Elmhaven Care Center in the bottom 30% of facilities for this criterion.
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Care Staff Rating
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Activities and Services Rating
Absolutely horrific! Absolute WORST EVER!!! They are neglecting my mom, let her sit in urine and whatever else is in her depend. They don't give her her meds in a timely manner. They haven't switched her diet from liquids and I've requested every day for a week. It's a challenge to get these people to get her in a wheelchair to move around a bit, it's absurd! Her call button takes at least 30-45 mins to get a nurse and that includes me calling them to see why it's taking so long and my mom yelling for help. It's insane and I'm working on getting her out of this place ASAP! This place should be shut down. I am also reporting to all the places I can. There's no reason for them to be this dedicated to not giving any concern for the patients In their definitely NOT "care" home.
I made appointments for the week and wrote them down exactly as we were scheduling however come time for the appointment and they couldn't find that it was scheduled then they said it was a different time that never even came up because I took the last time of 215 for that day but they stated it was at 12 totallyWrong because that time slot wasn't even available ..... then as they begin confirming the rest of the week the times don't even match what I was told on the phone ..... someone switches the times I originally scheduled and didn't bother letting me know on top of that I was told I would receive a call the morning off the appointment to Confirm ... that wasn't even done so that tells me someone isn't doing their job properly .....
I wish I could give zero/negative stars. One of my family members currently resides at Windsor Elmhaven Care Center in Stockton, CA. He suffered a stroke years ago and was placed at Windsor Elmhaven when his prior skilled nursing facility closed. Luckily for him, the stroke did not did not cause brain damage to his left or right brain; only to his brainstem. He is like Christopher Reeve or Stephen Hawking (brain works, but body does not). He has a tracheotomy and a feeding tube. He also has extremely limited movement in his right hand. With this hand, he is able to write messages on paper and on an iPad. He sends continuous pleas for help to his family; notifying us that the staff do not regularly change his soiled disposable underwear (he is incontinent). He also regularly insists that staff are retaliatory towards him for "complaining." None of his family has the capacity to care for him at home due to his extremely intensive medical needs and are not able to privately fund a transfer to another facility (the costs are astronomical). His family has spoken to the facility, filed police reports, spoken to the ombudsperson, and filed complaints with the state. But to no avail; besides my uncle's complaints, there is no "proof" that this is happening and we are not with him 24/7 to observe any of these things happening. His family will continue to check-in on him and pester the facility to care for him until a change is made. I just wanted to let people know that this has been our personal experience with the facility.
If I could give zero stars I would. This place is the worst! My mother passed away a few years ago. She was on the sub-acute side of the facility paralyzed and on a ventilator. She suffered from sepsis, bedsores, and many other infections. The night she passed, I was notified she was at the hospital by the attending ER physician. No one from the facility notified me. HORRIBLE!!!!
Horrible place. My dad was unable to walk or talk and their nursing staff allowed him to sit in his own mess for hours on end till it created sores and ate away his backside. The care that he received was abhorrent and inhumane. Please take your loved ones elsewhere. With the exception of a handful of wonderful people, the majority of the staff there can't be bothered with helping those those you care for.
Absolutely terrible. The management is constantly changing. I think they have had 7 different directors of nursing within the year and several different administrators in the few years my family member has been here. The current administrator, Anthony, seems too busy to even care about his patients and never gives us direct answers. Never follows up with our complaints. They are always short on staff. CNAs are hard to find. One CNA told me they only had 1 CNA for 30 something patients on the respiratory side. The nurses are always complaining they don't have staff, wound nurses are usually not in the building even though we were promised that there would always be a wound nurse on day shift. I've overheard the staff frequently talking about bed bugs and scabies and how the management tries to hide it. A few employees even said they got scabies from the patients there. This facility is always out of supplies. One time they told us that they only had small gloves and they're always out of medications. Honestly I'm not sure how this place isn't shut down yet. Showers for my family member are always skipped and I don't get notified of medication changes or changes of status. I'm always scared about them retaliating against my family member when I complain because they will neglect her for hours if they find out we complained. Looking for a new place even if I have to drive an hour out of town.I was just updated that the respiratory unit is being treated for asbestos with the patients still residing in the unit itself which is super contradicting
What a busy little world in itself. My very first experience with convalescent environment. So much involved. So much to consider. So many staff hustling and bustling doing their parts. Most of which appeared happy with their parts. It was a little rough at first. Looking out for my brother (Mr Apilado). On the other side of a stroke and brain surgery, he didn't know what he needed. After asking many questions and establishing a good communication, all of his needs were pretty well accommodated. I did learn about the daily menu ordering. Writing "diabetic" and "low sodium" can help the preparation proper process.The Physical Therapy people were so awesome. This business can be depressing to be away from home, strange place, strange bed, strange people everywhere, many just as unhappy about individual discomforts, all kindness extended from staff can go a long way.Thank you Windsor staff.Oh, one more thing. Whom ever is in charge of answering email on the website, must not have a daily reminder to check it. Today is Feb 26, 2019, Its been couple few weeks since I emailed, have yet to receive any response 3/11/19. One information request. One nursing concern. May want to fine tune that website system.Thank you
The staff here was excellent. Admissions staff really helped out and made our family feel comfortable and at ease during a difficult time. Our loved one was treated with kindness, respect, and geniune compassion. I would definately recommend this facility to my family and friends.
My mother spent 28 days at Windsor Elmhaven. The level of care that she received was 5 star. The physical therapy, wound management, and level of communication from the management to patient was excellent. My mother, coming from a different SNF had much to compare it to. The new management here at Windsor is very attentive to patient care and the end result shows. The head manager is always in and you can communicate directly with him should you desire.
My sister fell and fractured her hip, after being in the hospital for 3 days she was released to Windsor Elmhaven Care Center. I cant say enough good things about the staff! From the admssion woman who visited her in the hospital to the nurses who took care of her. As in all facilities like this a patient needs an advocate to help to make sure that the patientis taken care of. They had classes and fun things to do during the day. My sister wasvery happy with her care. I understand that they have gone thru an ownership change so problems from the past are being resolved. I know that if she were to need care like that again we would have noproblem with her being there.
My Dad passed away and left a suitcase and a bag at this place. I stopped today and picked it up. I then drove back home 3.5 hours. When I unloaded the bags out of my car into the garage several large very healthy roaches sped off in all directions out of his bags. I was shocked and managed to kill only one. So I assume my car and garage are infested with these roaches just like this dump is in Stockton.
my mom went their a few years ago doctor kevin milkaelion fixed her fumar she went in tio elm haven for physical therpty she had a doctor apontment with doctor kevin milaelion she was droped off their she was sick thay let her sick suttergould called the treeage they send to damaron the doctor was not happyhe stayed their until ambulane came so I don't know about elm haven my uncal diad their but their slipped in their care thankyou
Need I Say more? Hip surgery. And they refused to allow her to use a bed pan, made her wear a diaper and she begged to be cleaned up but no one would help. Now her bandage is soaked in urine and family had to run to the rescue. This place is a joke. Do not leave your family member unattended. Thankfully our grandmother is healthy young and able to call us to let us know she was sitting there soaked in this condition. It's sad that she had to go through this. Now someone's as to be with her 24/7 to make sure she is cared for properly and to prevent infection to her incision area. You guys should be ashamed.
I was a patient at Windsor Elmhaven Care Center from 2/12/18 to 2/24/18. This is my first time to write a review regarding a skilled nursing facility where I was a patient. I try to be as objective as I can for the benefit of others. In general, I would rate as 2.5 but because of customer services from rank and file employee I gave the center 3 stars.Plus: *** key strength: employee's attitude ***- Employee dedication, hardworking, friendly, and accommodating.- Willing to augment meal with additional drinks when possible and permissible.- Superb gym staff - CNA's (Delia, Felicimo) my OT (Justin), my PT (John, Roberto), and my ST (Whitney) Minus:- Facility odor.- Shift transition - for the employee who works 11.5 hours from 7 pm to 6:30 am. There is no coverage from 6:30 am to 7:00 pm. More than one occasion such as 1/19 I had to wait for more than 30 minutes to have some CNA's to guide me to the bath room.RECOMMENDATIONS: 1) Hire more staff 2) Have dedicated bathroom dispatcher (1 on West Wing, 1 on East Wing)OBSERVATIONS: Current employee is responsible for 15 patients to 20 patients. (overworked, underpaid) (Kaiser: 5 patients)- On my second day there, the billing supervisor along with other financial staffs told me to pay up additional $160.00 per day or leave. It is not their responsibility to resolve the financial difference with Kaiser. It turned out that Kaiser had a break down on their billing charge allocation with Windsor Elmhaven. I request Windsor to work with me and Kaiser to resolve the dispute. They refused to help and said that it is my issue. No help from Windsor management.- On my last day at Windsor Sat 2/24, the nurse in charge was so upset that I got permission to discharge one day from my business case manager (Ruben), my nurse (Carolyn), my CNAs (to stop the nurse from charging Kaiser one extra day, threatened me and wrote me up for leaving early by one day, and demanded me to return. I am really sick of Windsor Management's attitude.FWIW - a very frustrated patient.-H
This place is HORRIBLE!!!! If you care about someone in your life avoid this place completely. They are completely incompetent. Promise everything and do nothing. We were told they provide physical therapy multiple times a day and there were times we saw nobody. You call someone to change your loved one and wait an hour. They said a doctor would be here to talk with daily and in 7 days we have never seen one! I am taking my mother out of here before they kill her! This place should be shut down!!!!!
My mother is there and she has to wait forever for a nurse to come in the room or even a CNA when she pushes her call Button she has to call me to call them for them to go see her so wait 30 minutes sometimes an hour it's ridiculous I can't believe how long it takes for a nurse to come in other than that it seems like it's an all right place but I would really like to get my mom into a different Rehabilitation Center
My father in law loves living here. They have lots of social events. We have had trouble with his clothing disappearing. I rate it a 4 even with the clothing issue because the happiness of my loved one outweighs this. It would be 5 stars if they took better care of his personal belongings.
My kids father Iman is currently a resident at this facility. They have denied Imans rights to talk to his children I have this on video. This facility has denied Imans children to visit or call even after I have video to show he wants to come home to Washington. I’m currently building a case so please everyone message me on Facebook as well. None of you deserve this. I also have a tiktok with over 7,000 people writing the president and the board. Iman is the wrong one to play with. I’m a cna and know the law. This abuse is all recorded. Iman has rights and I will bring him home. In 25 years I’ve never witnessed such abuse while working in Sacramento California as a caregiver and cna. Windsor won’t be happy till we show up to protest with the news. Windsor should do what’s right or myself and all your other victims will shut it down. Let Iman heal correctly with his 4 children and kid’s mother of 26 years. This won’t go away it will get worse. I have given the administration office ALL the proof. I called the DA and reported this place. If I did this to a client of mine I’d be fired. I’m a mandated reporter and so are all of you. Veronica has already chose sides. I have proof you guys lied saying he was non verbal. I have proof I text and video proving he was and is verbal. Do the right thing and cut your losses with Iman cause this won’t get swept under no rug. Look us up @justice4iman on tiktok let’s stop this facility from abusing our people
Do not send your loved one here unless you want them to die quicker. It was weird to see my Dad super alert, communicating with us, and cleaned up when they admitted him to the hospital several times at St. Josephs hospital but everytime he would get back to the place at Elm Haven he was always drowsy, his hygiene was poor, his skin scally like they didn't bathe him for months during the lock down. He just didn't look healthy living there. I had let them know recently too look at other places for him to live because I can tell something is up in there. A week later he dies. RIP Dad
Not even one star for this care center but unfortunately I have to, it should be named ELMHILL instead of ELMHAVEN. My mom didn’t get full care at all and we as her family we struggled a lot to just see her, there’s a lot to mention but I’m not gonna loose my time describing it. I WILL NEVER SEND MY MOM THERE AGAIN I AM VERY THANKFUL THAT I GOT HER OUT OF THERE. My advice For people who’s going to send someone they love and care about, I would say DO NOT.
This place is horrible! I had spinal reconstruction surgery and it was supposed to go here for therapy the actual therapist are excellent however the lvns on night shift and graveyard or luck if the draw if you will and you are guaranteed not if but guaranteed to have one that's going to steal your stuff when she has a chance! It happened to me I was warned about it when I first got there but other staff members to watch out for some people who are thieves I literally woke up to one stealing my stuff and I cannot even press charges on the woman because I was a resident of the facility that it was a facility matter and the facility did not take any actions or care whatsoever they turned it on me as if I was the bad guy for having my stuff stolen! I also witnessed patient abuse nurses talking horrible to patients cuz they needed help talking disgustingly to patients and just respectfully the patients who could not fend for themselves the more disabled the patient the worst they are treated and if you can't speak up for yourself my God you're going to live in hell! It was so bad that I left and went back to the hospital! I I had my n95 reusable cloth masks disappeared my cell phone disappeared, a I literally caught a LVN digging through my stuff she made an excuse that she was getting a battery and magically my brand new earbuds were gone along with the 10-foot marker USB charger rope cord!
Called from 5:25 until 6:05pm. A full 40 minutes. After 15 minutes someone picked up the phone (I heard background noise) and they quickly hung up. I pushed redail immediately and it rang for another 25 minutes and no one would pick up. This is very common as ANYONE who knows elmhaven would tell you.The other posts about allowing their patients to get deathly ill before they do anything to help them is another common event. The NURSES there are of course the ones who are responsible for wanting to get paid but absolutely not wanting to do their jobs. Even answering the phone is too much for them to do.But then of course the administration and the owners of the nursing home is where the bucks stop. They know this, just look at the posts on here and their ratings.Lying??? The nurses and the front office including Social Services don't have a problem lying to your face. It's almost guaranteed.They fully take advantage of not having anyone from the outside being able to come in and see what they are doing due to covid. They have been turned in but then they lie. With Covid they can literally get away with murder. No visitors mean no safety from the nurses abusing the poor patients.Diischarging severly I'll patients and dumping the severely ill patient who can't walk or even get off the gurny when they arrive at the patient home isn't new. That's when they tell the patient's family they must pay to get the patient re-admitted. (It's all about the money).Patients are not safe there.I personally have to give their nursing care and administration care a solid F- grade. If you want your loved one to lay in their soiled urine and diarrhea diapers for 15 hours and then be lied to about it to your face after you have discovered it to be true, then this is your place.Bianca and Jessie's posts below is what I am talking about. They are common.
Place is very clean and well stocked to take care of your old ones!! Staff are very welcoming. They did not hesitate to contact us about our aunties needs. But they are a business and like all California business this place cuts corners sometimes!! Make sure you label anything you drop off for your loved ones, ESPECIALLY ELECTRONICS............................. AND maybe have a lawyer handle them just to make sure your loved ones have the 100%. Other than that they do the best they can!
Do NOT put your loved ones here. The neglect (abuse) from staff just about killed my other, whose bed had no phone to call for help. Also, they often don't answer their phones if you're calling to check. A nightmare. Halls smell of urine. Nurses don't care....what's wrong with leaving a patient lying in their own feces for over an hour?! OMG, this place is disgusting and should be shut down. Can't believe it hasn't been yet!
This place does nothing for medical care. They made so many medical errors while my mother was in their care. They were the cause of her death I don’t recommend to place to for any one, if you truly care about your loved ones don’t send them here because the night shift ignores the calls for help.
Health and Fire Safety Deficiencies
The Center for Medicare and Medicaid report report health and fire safety deficiencies. Some of these deficiencies are more severe than others. The following table shows different levels of severity.
|Severity of Deficiency||Isolated||Pattern||Widespread|
|Immediate jeopardy to resident health or safety||J||K||L|
|Actual harm that is not immediate jeopardy||G||H||I|
|No actual harm with potential for more than minimal harm that is not immediate jeopardy||D||E||F|
|No actual harm with potential for minimal harm||A||B||C|
Fire Safety Deficiencies
|Survey Date||Correction Date||Letter||Category||Description|
|2019-08-08||2019-08-23||D||Smoke Deficiencies||Properly provide smoke detection systems in areas open to corridors.|
|2019-08-08||2019-08-23||D||Smoke Deficiencies||Install corridor and hallway doors that block smoke.|
|2019-08-08||2019-08-23||E||Gas, Vacuum, and Electrical Systems Deficiencies||Have generator or other power source capable of supplying service within 10 seconds.|
|2019-08-08||2019-08-23||D||Gas, Vacuum, and Electrical Systems Deficiencies||Ensure proper usage of power strips and extension cords.|
|2018-07-17||2018-08-02||C||Emergency Preparedness Deficiencies||Develop Emergency Preparedness policies and procedures.|
|2018-07-17||2018-08-02||D||Egress Deficiencies||Keep aisles, corridors, and exits free of obstruction in case of emergency.|
|2018-07-17||2018-08-02||D||Smoke Deficiencies||Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.|
|2018-07-17||2018-08-02||D||Smoke Deficiencies||Inspect, test, and maintain automatic sprinkler systems.|
|2018-07-17||2018-08-02||D||Smoke Deficiencies||Install corridor and hallway doors that block smoke.|
|2018-07-17||2018-08-02||D||Gas, Vacuum, and Electrical Systems Deficiencies||Have generator or other power source capable of supplying service within 10 seconds.|
|2018-07-17||2018-08-02||D||Gas, Vacuum, and Electrical Systems Deficiencies||Have proper medical gas storage and administration areas.|
|2017-07-06||2017-07-31||D||Construction Deficiencies||Use approved construction type or materials.|
|2017-07-06||2017-07-31||D||Smoke Deficiencies||Inspect, test, and maintain automatic sprinkler systems.|
|2017-07-06||2017-07-31||D||Smoke Deficiencies||Install corridor and hallway doors that block smoke.|
|2017-07-06||2017-07-31||D||Smoke Deficiencies||Ensure smoke barriers are constructed to a 1 hour fire resistance rating.|
|2017-07-06||2017-07-31||D||Gas, Vacuum, and Electrical Systems Deficiencies||Have generator or other power source capable of supplying service within 10 seconds.|
Health Safety Deficiencies
|Survey Date||Correction Date||Letter||Category||Description|
|2023-05-23||D||D||Resident Assessment and Care Planning Deficiencies||Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.|
|2023-03-28||D||D||Freedom from Abuse, Neglect, and Exploitation Deficiencies||Develop and implement policies and procedures to prevent abuse, neglect, and theft.|
|2023-03-16||E||E||Quality of Life and Care Deficiencies||Provide safe and appropriate respiratory care for a resident when needed.|
|2023-03-16||D||D||Environmental Deficiencies||Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.|
|2023-03-01||D||D||Resident Assessment and Care Planning Deficiencies||Ensure services provided by the nursing facility meet professional standards of quality.|
|2023-03-01||D||D||Quality of Life and Care Deficiencies||Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.|
|2023-02-27||D||D||Resident Rights Deficiencies||Let each resident or the resident's legal representative access or purchase copies of all the resident's records.|
|2023-01-17||D||D||Resident Rights Deficiencies||Reasonably accommodate the needs and preferences of each resident.|
|2022-11-29||D||D||Resident Assessment and Care Planning Deficiencies||Ensure services provided by the nursing facility meet professional standards of quality.|
|2022-10-20||D||D||Freedom from Abuse, Neglect, and Exploitation Deficiencies||Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.|
|2022-10-20||D||D||Freedom from Abuse, Neglect, and Exploitation Deficiencies||Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.|
|2022-10-12||D||D||Quality of Life and Care Deficiencies||Provide appropriate pressure ulcer care and prevent new ulcers from developing.|
|2022-10-07||D||D||Quality of Life and Care Deficiencies||Provide care and assistance to perform activities of daily living for any resident who is unable.|
|2022-10-06||D||D||Quality of Life and Care Deficiencies||Provide care and assistance to perform activities of daily living for any resident who is unable.|
|2022-09-22||D||D||Quality of Life and Care Deficiencies||Provide appropriate treatment and care according to orders, residentâ€™s preferences and goals.|
|2022-09-20||E||E||Quality of Life and Care Deficiencies||Provide safe and appropriate respiratory care for a resident when needed.|
|2022-09-20||E||E||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2022-09-16||D||D||Resident Assessment and Care Planning Deficiencies||Ensure services provided by the nursing facility meet professional standards of quality.|
|2019-06-20||E||E||Resident Rights Deficiencies||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.|
|2019-06-20||D||D||Resident Rights Deficiencies||Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.|
|2019-06-20||D||D||Resident Rights Deficiencies||Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.|
|2019-06-20||D||D||Resident Rights Deficiencies||Keep residents' personal and medical records private and confidential.|
|2019-06-20||D||D||Resident Assessment and Care Planning Deficiencies||Ensure each resident receives an accurate assessment.|
|2019-06-20||E||E||Resident Assessment and Care Planning Deficiencies||Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.|
|2019-06-20||D||D||Resident Assessment and Care Planning Deficiencies||Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.|
|2019-06-20||D||D||Quality of Life and Care Deficiencies||Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.|
|2019-06-20||D||D||Quality of Life and Care Deficiencies||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.|
|2019-06-20||D||D||Quality of Life and Care Deficiencies||Provide for the safe, appropriate administration of IV fluids for a resident when needed.|
|2019-06-20||D||D||Quality of Life and Care Deficiencies||Provide safe and appropriate respiratory care for a resident when needed.|
|2019-06-20||E||E||Pharmacy Service Deficiencies||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.|
|2019-06-20||D||D||Administration Deficiencies||Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.|
|2019-06-20||D||D||Nutrition and Dietary Deficiencies||Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.|
|2019-06-20||D||D||Nutrition and Dietary Deficiencies||Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.|
|2019-06-20||D||D||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2019-06-20||D||D||Environmental Deficiencies||Provide enough space and equipment to meet each resident's needs|
|2022-03-07||E||E||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2022-03-07||D||D||Infection Control Deficiencies||Develop and implement policies and procedures for flu and pneumonia vaccinations.|
|2022-03-07||F||F||Infection Control Deficiencies||Report COVID19 data to residents and families.|
|2022-03-07||E||E||Infection Control Deficiencies||Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.|
|2022-03-07||C||C||Infection Control Deficiencies||Ensure staff are vaccinated for COVID-19|
|2022-03-07||F||F||Environmental Deficiencies||Keep all essential equipment working safely.|
|2021-09-21||E||E||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2021-09-21||E||E||Infection Control Deficiencies||Report COVID19 data to residents and families.|
|2022-07-12||E||E||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2022-07-12||C||C||Infection Control Deficiencies||Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.|
|2022-01-26||D||D||Resident Assessment and Care Planning Deficiencies||Ensure services provided by the nursing facility meet professional standards of quality.|
|2022-01-26||D||D||Pharmacy Service Deficiencies||Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.|
|2021-12-23||D||D||Resident Assessment and Care Planning Deficiencies||Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.|
|2021-10-28||D||D||Quality of Life and Care Deficiencies||Provide appropriate pressure ulcer care and prevent new ulcers from developing.|
|2021-10-01||B||B||Resident Assessment and Care Planning Deficiencies||Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.|
|2021-09-30||D||D||Resident Rights Deficiencies||Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.|
|2021-09-09||D||D||Quality of Life and Care Deficiencies||Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.|
|2021-09-08||D||D||Resident Rights Deficiencies||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.|
|2021-09-08||D||D||Environmental Deficiencies||Make sure that a working call system is available in each resident's bathroom and bathing area.|
|2021-08-26||G||G||Freedom from Abuse, Neglect, and Exploitation Deficiencies||Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.|
|2018-06-08||D||D||Resident Rights Deficiencies||Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.|
|2018-06-08||D||D||Resident Rights Deficiencies||Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.|
|2018-06-08||D||D||Resident Rights Deficiencies||Notify the resident or the residentâ€™s representative in writing how long the nursing home will hold the residentâ€™s bed in cases of transfer to a hospital or therapeutic leave.|
|2018-06-08||D||D||Resident Assessment and Care Planning Deficiencies||Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.|
|2018-06-08||D||D||Quality of Life and Care Deficiencies||Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.|
|2018-06-08||D||D||Pharmacy Service Deficiencies||Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.|
|2018-06-08||D||D||Pharmacy Service Deficiencies||Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.|
|2018-06-08||D||D||Pharmacy Service Deficiencies||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.|
|2018-06-08||D||D||Pharmacy Service Deficiencies||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.|
|2018-06-08||D||D||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2020-09-28||E||E||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2020-09-08||E||E||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2020-08-12||E||E||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2021-05-18||D||D||Freedom from Abuse, Neglect, and Exploitation Deficiencies||Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.|
|2021-05-18||D||D||Nursing and Physician Services Deficiencies||Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.|
|2021-05-18||D||D||Nursing and Physician Services Deficiencies||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.|
|2021-03-25||D||D||Pharmacy Service Deficiencies||Ensure that residents are free from significant medication errors.|
|2021-03-03||D||D||Resident Assessment and Care Planning Deficiencies|
|2021-02-03||F||F||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2021-02-03||F||F||Environmental Deficiencies||Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.|
|2020-12-09||E||E||Quality of Life and Care Deficiencies||Provide safe and appropriate respiratory care for a resident when needed.|
|2020-12-09||E||E||Nursing and Physician Services Deficiencies||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.|
|2020-09-09||D||D||Resident Rights Deficiencies||Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.|
|2020-09-09||D||D||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2020-09-01||D||D||Resident Rights Deficiencies||Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.|
|2020-08-25||E||E||Resident Assessment and Care Planning Deficiencies||Ensure services provided by the nursing facility meet professional standards of quality.|
|2020-08-25||E||E||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2017-06-23||D||D||Resident Rights Deficiencies||Try to resolve each resident's complaints quickly.|
|2017-06-23||D||D||Resident Rights Deficiencies||Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.|
|2017-06-23||D||D||Quality of Life and Care Deficiencies||Ensure services provided by the nursing facility meet professional standards of quality.|
|2017-06-23||D||D||Environmental Deficiencies||Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.|
|2017-06-23||D||D||Environmental Deficiencies||Have a program that investigates, controls and keeps infection from spreading.|
|2017-06-23||D||D||Administration Deficiencies||Quickly tell the resident's doctor the results of laboratory tests.|
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