Windridge Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Windridge Nursing and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF641Aug 2, 2023

  Based on record review and interview, the facility failed to ensure accurate coding of MDS assessments for anticoagulant use for three (#6, 7, and #36) of 16 sampled residents whose MDS assessments were reviewed. The Resident Census and Conditions of Residents form documented 34 residents resided in the facility. Findings: 1. Res #7 had diagnoses which included cerebral infarction, aphasia, and anxiety disorder. A quarterly assessment, dated 06/20/23, documented the resident was severely cognitively impaired, required extensive assistance with most ADLs, and received an anticoagulant seven out of seven days during the review period. On 07/31/23 at 2:00 p.m., Res #7's records were reviewed and did not document an order for an anticoagulant during the review period. […]

• No harm, potential for more than minimal, patternF756Aug 2, 2023

  Based on record review and interview, the facility failed to ensure the physician responded to pharmacist medication reviews related to the GDR requests with a clinical rationale for five (#4, 6, 14, 19, and #28) of five sampled residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents form documented 34 residents resided in the facility. Findings: A Policy and Procedure for Drug Regimen Review form, dated 04/10/17, read in part, .The physician will document in the resident's medical record that the identified irregularity has been reviewed and what, if any action has been taken to address it. If there is no change in the medication, the physician will document his/her rationale for the decision in the resident's medical record . 1. […]

• No harm, potential for more than minimal, patternF758Aug 2, 2023

  Based on record review and interview, the facility failed to ensure a resident who received psychotropic medications received a gradual dose reduction in a timely manner for one (#4) of five sampled residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents form, documented 19 residents received psychoactive medications. Findings: A Policy and Procedure for Drug Regimen Review form, dated 04/10/17, read in part, .The physician will document in the resident's medical record that the identified irregularity has been reviewed and what, if any action has been taken to address it. If there is no change in the medication, the physician will document his/her rationale for the decision in the resident's medical record . 1. […]

• No harm, potential for more than minimal, isolatedF756Dec 4, 2025

  Based on record review and interview, the facility failed to ensure a physician provided a rationale for the use of an antipsychotic medication when requested on a pharmacy consultant report for 1 (#5) of 5 sampled residents reviewed for unnecessary medications.The administrator identified 34 residents were prescribed psychotropic medications.Findings:A physician's medication order for Res #5, dated 09/27/24, showed the resident had been prescribed Zyprexa (antipsychotic medication) 5 mg oral tablets to be given to the resident each night at bedtime for the diagnosis of insomnia.A pharmaceutical consultant report for Res #5, dated 04/24/25, read in part, Please evaluate the routine use of the following psychoactive medications and consider a dose reduction. […]

• No harm, potential for more than minimal, isolatedF641Aug 22, 2024

  Based on record review and interview, the facility failed to ensure Resident Assessments were accurately coded for one (#13) of 12 residents reviewed for assessments. The Administrator identified 36 residents resided in the facility. Findings: An Assurance Of Professional Accuracy policy, undated, read in part, this facility will insure the accuracy of each resident's assessment. Resident #13 had diagnoses which included dementia, bipolar, depression, and anxiety. An Order Summary report, documented Resident #13 did not received the Antipsychotic medication Depakote and a review of discontinued orders documented Depakote was discontinued on 05/24/24. An Quarterly Resident Assessment, dated 07/12/24, document Resident #13 received a Antipsychotic medication daily. […]