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🔎 Winchester Lodge Healthcare Center

Inspection Results


Inspection Overview

Winchester Lodge Healthcare Center has been cited for a total of 19 deficiencies since we began saving each survey.

In Texas, the average facility has **34.42 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: D

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey Date: 2024-06-28
Correction Date: 2024-07-26
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: E

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey Date: 2024-06-28
Correction Date: 2024-07-26
Category: Pharmacy Service Deficiencies
From Complaint: Y

Scope/Severity: E

Provide safe and appropriate respiratory care for a resident when needed.

Survey Date: 2024-04-06
Correction Date: 2024-04-24
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey Date: 2023-04-20
Correction Date: 2023-04-21
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2023-04-20
Correction Date: 2023-04-21
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey Date: 2023-04-20
Correction Date: 2023-04-21
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Provide and implement an infection prevention and control program.

Survey Date: 2023-04-20
Correction Date: 2023-04-21
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey Date: 2023-04-20
Correction Date: 2023-04-21
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Provide safe, appropriate pain management for a resident who requires such services.

Survey Date: 2023-04-20
Correction Date: 2023-04-21
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2023-02-15
Correction Date: 2023-03-15
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: K

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey Date: 2023-02-15
Correction Date: 2023-03-15
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: K

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2023-02-15
Correction Date: 2023-03-15
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: K

Provide enough food/fluids to maintain a resident's health.

Survey Date: 2023-02-15
Correction Date: 2023-03-15
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: D

Provide routine and 24-hour emergency dental care for each resident.

Survey Date: 2023-02-15
Correction Date: 2023-03-15
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: F

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Survey Date: 2022-02-02
Correction Date: 2022-02-28
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2022-02-02
Correction Date: 2022-02-21
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Dispose of garbage and refuse properly.

Survey Date: 2022-02-02
Correction Date: 2022-02-21
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Survey Date: 2021-08-04
Correction Date: 2021-08-09
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: D

Keep residents' personal and medical records private and confidential.

Survey Date: 2020-10-09
Correction Date: 2020-10-26
Category: Resident Rights Deficiencies
From Complaint: N

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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**