Windsor Nursing and Rehabilitation Center of Bastr

In the surveyor’s words

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

• Immediate jeopardy, patternF600Mar 8, 2022

  Based on interview, observation and record review, the facility failed to ensure the resident's rights to be free from abuse and neglect for 7 (#31, #24, #18, #36, #53, #29 and #55) of 28 residents reviewed for abuse and neglect. The facility failed to monitor residents and recognize abuse and neglect by CNA A who admitted to abusing residents on Halls E, A, B and C in that Residents #31, #24, #18, #36, #29, #53 and #55 made allegations against CNA The facility failed to ensure that residents felt safe to report abuse without fear of retaliation which resulted in psychosocial emotional harm as evidenced by residents expressing fear and not wanting to reveal identifying information to surveyors at the risk of further harm. […]

• Immediate jeopardy, patternF684Mar 8, 2022

  Based on observation, interview, and record review the facility failed to, based on the comprehensive assessment of a resident, ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan and the resident's choices for three (Resident #9, Resident #19 and Resident #22 ) of four residents reviewed for quality of care. The facility failed to provide safe and comfortable transportation for Resident #19, an [AGE] year-old female resident who was transported to [CONDITION(S)] in her wheelchair across a busy road in 28 degree Fahrenheit sleeting weather one day after being discharged from the hospital with COVID-19 pneumonia and subsequently had to wait outside the facility in the poor weather conditions… […]

• Actual harm, patternF760Feb 5, 2026

  Based on interviews and record reviews, the facility failed to ensure residents were free of any significant medication errors for 1 of 5 residents (Resident #1) reviewed for significant medication errors. The facility failed to ensure processes were in place for accurate verification and reconciliation of physician orders and medications upon admission. The DON did not enter the complete medication allergy list into Resident #1's electronic medical record and the facility's NP prescribed an antibiotic that Resident # 1 had a known allergy to. This resulted in Resident #1 having an allergic reaction that led to significant rash over her body. […]

• No harm, potential for more than minimal, widespreadF812Jun 11, 2024

  Based on observations, interviews and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure the kitchen floors, food preparation surfaces, pantry shelves and refrigerator shelves were clean. The facility failed to ensure frozen meat was thawed and stored properly prior to preparation. The facility failed to ensure stored foods were properly stored, labeled, and dated. These failures could place residents who received prepared meals from the kitchen at risk for food borne illness and cross-contamination. […]

• No harm, potential for more than minimal, widespreadF800May 4, 2022

  Based on observation, interview and record review, the facility failed to provide each resident with a nourishing, palatable, well-balanced diet that met his or her daily nutritional and special dietary needs for 17 residents (Residents: #1 #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16 and #17) reviewed for diets meeting resident needs. The facility failed to ensure the residents had a therapeutic diet as ordered by the physician. This failure could affect residents on special diets by inhibiting appetite and could result in malnutrition, weight loss, altered nutritional status and diminished quality of life. Findings Included: Observation on 05/03/2022 at 9:05 AM revealed the food required to follow the menu was not available in the kitchen. […]