Windwood Assisted Living

The facility failed to ensure follow-up for a resident's routine health care needs regarding a physician-ordered mammogram. Although the order was made during an October 2025 visit, the facility failed to schedule the procedure or obtain the results, and the error was not identified during clinical chart audits.

The document indicates a deficiency regarding the provision of personal lockable space for residents to secure valuables, though the specific details of the failure were truncated in the provided text.

The facility failed to ensure necessary referral and follow-up care for a resident with COPD and emphysema. Specifically, the Resident Care Coordinator missed three scheduled appointments with a primary care provider for fasting labs and failed to facilitate a required CT scan of the lungs for lung cancer screening. Additionally, the facility failed to follow up with a pulmonary provider regarding medication needs.

The facility failed to ensure necessary referral and follow-up care for a resident, resulting in three missed primary care appointments, one missed pulmonary appointment, and a missed CT scan. The Resident Care Coordinator failed to properly track appointments on the facility calendar, leading to missed medical services.

The facility failed to ensure medications were administered according to physician orders for two residents. Specifically, the facility did not follow prescribed sliding scale insulin parameters for a resident with diabetes and failed to properly administer a hormone supplement for another resident.

The facility failed to ensure medications were administered according to physician orders for two residents. Specifically, for Resident #1, multiple instances were identified where insulin doses were either too high, too low, or administered when they should not have been based on finger stick blood sugar parameters.

The facility failed to ensure proper referral and follow-up for resident health needs. Specifically, staff failed to notify an endocrinologist and primary care provider regarding high fingerstick blood sugar readings for Resident #4 and failed to act on a pharmacist's recommendation to discontinue medication for Resident #3.

The facility failed to ensure walls, ceilings, and floors were kept clean and in good repair. Specific issues included dirty/stained bathroom walls, a hole in a bathroom wall, soiled/torn furniture in the living room, and accumulation of dust and grime in common areas.

The facility failed to ensure follow-up to meet the health care needs of one resident regarding obtaining prescribed prescription glasses. Although glasses were prescribed during an ophthalmologist appointment, there was no documentation that the glasses were ordered or that the facility followed up on their status.

The facility failed to implement physician orders for three of four sampled residents. Specifically, the facility failed to perform required fingerstick blood sugar checks for Resident #1 and Resident #3, and failed to perform monthly blood pressure checks for Resident #2.