Inspection Reports for The Windham by Cogir

The inspection was an unannounced required annual inspection conducted by Licensing Program Analyst M Vega to evaluate compliance with licensing requirements at the facility.

The facility was found to be clean, in good repair, with no fire hazards or passageway obstructions. Food storage and temperatures were adequate, resident rooms were properly furnished and equipped with safety features, medications and chemicals were securely stored, and staff and resident files were reviewed and found compliant. No deficiencies were issued during this inspection.

The office meeting was held to discuss recently identified issues associated with the operation of the facility.

Issues related to care of persons with dementia and incidental medical and dental care were brought to the licensee's attention. The licensee agreed to provide a Plan of Action to maintain health and safety of residents by 12/27/2024.

The visit was an unannounced case management inspection to deliver findings from a review completed by the Department following a complaint investigation regarding staff supervision of a resident.

The investigation found that staff failed to supervise a resident with dementia who was found deceased outside the facility. A deficiency was cited for failure to meet care requirements for persons with dementia, and an immediate civil penalty of $500 was issued.

The complaint investigation revealed staff failed to supervise resident (R1) who was found deceased in an empty field adjacent to the facility. Staff last saw R1 at approximately 1600 hours but did not notify anyone until 2115 hours. Resident had dementia and required supervision outside the facility.

The inspection was conducted as an unannounced complaint investigation following a report received on 08/16/2024 alleging that staff did not properly supervise a resident, resulting in death.

The investigation found that the resident died of natural causes and there was no preponderance of evidence to prove that staff's lack of care and supervision resulted in the death. The allegation was therefore unsubstantiated. No deficiencies were cited during the visit.

The complaint alleged improper supervision of a resident resulting in death. The investigation included interviews and record reviews. The resident was found deceased on 07/22/2024 with no foul play noted by police. The allegation was unsubstantiated due to insufficient evidence.

The visit was an unannounced case management inspection conducted by Licensing Program Analyst B. Miranda to verify there was no immediate danger and to collect additional documents from resident charts.

The Licensing Program Analyst toured the facility and found no immediate danger. Additional documents were collected from two residents' charts. An exit interview was conducted and a copy of the report was provided to the Health & Wellness Director Nancy Pultz.

The inspection was an unannounced required annual inspection conducted by Licensing Program Analyst Vadim Gorban to evaluate compliance with regulatory standards at the facility.

The facility was found to be clean, in good repair, with no fire hazards or passageway obstructions. Food storage, medication storage, resident rooms, and safety equipment were all observed to be in compliance. Staff and resident files were reviewed and found to be up to date. No deficiencies were issued during this inspection.

The visit was a Case Management visit conducted based on an incident report dated 2024-03-20 involving resident R1. The purpose was to conduct a health and safety facility check and investigate the incident.

The facility failed to administer medications as prescribed, with resident R1 receiving medications intended for resident R2, posing an immediate health and safety risk to residents in care.

The visit was triggered by an incident report involving resident R1 on 2024-03-20. The complaint was substantiated by the finding that medications were administered incorrectly.

The visit was an unannounced annual inspection conducted by the Licensing Program Analyst to evaluate the facility's compliance with regulatory standards.

The facility was found to be clean and well-maintained with no fire clearance issues. Infection prevention practices were observed, medications and food supplies were adequate, and staff were polite and properly trained. No deficiencies were issued during the inspection.

The visit was conducted as a follow-up on an incident report submitted to the Fresno CCL office on 06/16/2022.

No deficiencies were issued during the inspection. The Licensing Program Analyst reviewed resident and staff records and conducted an exit interview with the Administrator.

An unannounced annual inspection was conducted on 05/05/2022 to evaluate infection control and overall compliance at the facility.

The facility appeared clean with no fire clearance issues, adequate infection control measures were observed including mask usage and hand hygiene supplies. No deficiencies were issued during the inspection.

The visit was an unannounced Case Management follow-up on an incident report submitted on 11/30/2021 regarding a medication error involving a resident receiving the wrong dose of Oxycodone.

The facility administered two 5mg tablets of Oxycodone to a resident instead of the ordered one 5mg tablet, posing an immediate health and safety risk. This was a repeat violation with prior citations issued on 03/30/2021 and 05/07/2021 for medication administration errors.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 08/20/2020 regarding staff mismanaging resident's medications and stealing resident's food, as well as other allegations of rough handling, yelling, and failure to safeguard resident's personal items.

The investigation substantiated that staff mismanaged resident medications by replacing a narcotic with Tylenol and that staff stole resident food by consuming snacks intended for residents. Disciplinary action was taken against the staff member involved. Other allegations regarding rough handling, yelling, and failure to safeguard resident's personal items were found to be unsubstantiated.

The complaint investigation was substantiated for allegations that staff mismanaged resident medications and stole resident food. The allegations that staff handled residents roughly causing injury, yelled at residents, and did not safeguard resident's personal items were unsubstantiated.

The inspection visit was an unannounced complaint investigation conducted in response to allegations that residents do not get an appropriate variety of foods and are served food that is not properly cooked, as well as an allegation that the facility does not have enough food for residents in care.

The allegations that residents do not get an appropriate variety of foods and are served food that is not properly cooked were substantiated based on interviews, record reviews, and observations. Deficiencies were cited related to food variety and food safety. The allegation that the facility does not have enough food for residents in care was unsubstantiated.

The complaint investigation was substantiated for allegations that residents do not get an appropriate variety of foods and are served food that is not properly cooked. The allegation that the facility does not have enough food for residents in care was unsubstantiated.

The visit was an unannounced Required - 1 Year Inspection conducted to evaluate the facility's compliance with licensing requirements and infection control measures.

The facility was found to be clean with no obstructions at exits, staff and residents were observed wearing facial masks and maintaining social distancing, and infection control measures were in place. No deficiencies were issued during this inspection.

The visit was conducted as a Case Management-Incident follow-up on an Incident Report submitted on 04/23/2021 regarding medication administration error.

A deficiency was cited for administering a 10mg tablet of Zolpidem instead of the ordered 5mg/0.5 tablet, posing an immediate health and safety risk. A civil penalty of $1000 was assessed for a repeat violation.

The visit was a Case Management follow-up conducted via telephone due to COVID-19 precautions to follow up on an incident report submitted to the Fresno Community Care Licensing office.

A deficiency was cited for a medication error where staff administered medication meant for one resident to another, posing an immediate health and safety risk. A civil penalty of $250 was assessed for a repeat violation.

The visit was a case management follow-up on an incident that occurred on 11/3/2020 when a staff member gave medication belonging to one resident to another, resulting in an additional dose being administered.

A deficiency was cited related to medication administration errors where a resident received a double dose of medication, posing an immediate health and safety risk. The staff member involved was retrained and removed from the floor temporarily.