Windsor Mission Oaks

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 13, 2026.

Ensure that residents are fully informed and understand their health status, care and treatments.

Rule F0552. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 28, 2025.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 28, 2025.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Rule F0690. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 28, 2025.

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.

Rule F0693. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 28, 2025.

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.

Rule F0726. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 28, 2025.

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.

Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 28, 2025.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 28, 2025.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 28, 2025.

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Rule F0921. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 28, 2025.

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Rule F0925. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 28, 2025.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 24, 2024.

Respond appropriately to all alleged violations.

Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 24, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: May 4, 2024.

Reasonably accommodate the needs and preferences of each resident.

Rule F0558. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 9, 2024.

Keep residents’ personal and medical records private and confidential.

Rule F0583. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 9, 2024.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Rule F0690. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 9, 2024.

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.

Rule F0726. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 9, 2024.

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.

Rule F0758. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 9, 2024.

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.

Rule F0761. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 9, 2024.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 9, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 9, 2024.

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Rule F0921. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 9, 2024.

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Rule F0925. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 9, 2024.

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Rule F0942. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 9, 2024.

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Rule F0943. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 9, 2024.