The Windham

FACILITY EVALUATION REPORT

The inspection report was generated on December 12, 2025, for a Case Management visit. The visit was conducted by LPA M Vega and involved meeting with the Executive Director, John Earley. No specific deficiencies were cited in the provided report content.

The facility underwent a Required Annual Inspection on 06/27/2025. The inspection covered various areas, including the dining area, kitchen, resident rooms, and medication storage. Overall, the report indicates that no deficiencies were issued during this inspection.

The inspection was an informal meeting held via Teams to discuss recently identified operational issues. The facility was cited for two deficiencies: one related to the care of persons with dementia (CCR 87705) and another regarding incidental medical and dental care (CCR 87465). The licensee has agreed to provide a Plan of Action to CCLD by 12/27/2024.

The unannounced case management visit identified significant deficiencies related to resident care protocols, particularly concerning residents with dementia. The facility was cited for failing to adequately address dementia care in its plan of operation and for lacking established procedures for timely notification of changes in a resident's condition. Immediate corrective action is required to ensure resident safety and compliance.

The unannounced case management visit identified significant deficiencies related to resident care protocols, particularly concerning residents with dementia. The facility was cited for failing to adequately address dementia care in its plan of operation and for lacking established procedures for timely notification of changes in a resident's condition. Immediate corrective action is required to ensure resident safety and compliance.

The facility underwent an unannounced Case Management visit on 07/26/2024. The Licensing Program Analyst toured the facility to verify there was no immediate danger and collected additional documents from the charts of residents R1 and R2. No specific deficiencies were cited in the provided report content.

The facility underwent a Required Annual Inspection on 06/12/2024. The inspection noted that the facility was clean, in good repair, and met several safety and operational standards. No deficiencies were issued during this inspection.