Elevate Care Windsor Park

deteriorating (mechanical) lift pads and the proper procedure of removing them from circulation.Facility's policy titled Fall Prevention Program revision date 11/21/17 documents in part, Purpose: to assure the safety of all residents in the facility, when possible.

The program will include measures which determine the individual needs of each resident by assessing the risk of falls and implementation of appropriate interventions to provide necessary supervision and assistive devices are utilized as necessary.

Quality Assurance Programs will monitor the program to assure ongoing effectiveness.

Guideline: The Fall Prevention Program includes the following components: Methods to identify risk factors.

Use and implementation of professional standards of practice.

Adherence to manufacturer's recommendation in use of alarm and medical devices and special care equipment.

Standards:.Malfunctioning equipment will be immediately reported to maintenance for repair or removed from service.Facility's policy titled Transfers Manual Gait Belt and Mechanical Lifts revision date 01/19/18 documents in part, Purpose: In order to protect the safety and well-being of the staff and resident, and to promote quality care, this facility will use Mechanical lifting devices for the lifting and movement of residents.

Guidelines:. 4.

Mechanical lift equipment shall undergo routine maintenance checks by the nursing and maintenance staff to ensure that equipment remains in good working order.Facility's mechanical lift operator's manual titled Manual/Electric Portable patient Lift dated 2013 documents in part, Using the Sling: Warning.

After each laundering (in accordance with instruction on the sling), inspect sling(s) for wear, tears, and loose stitching, bleached, torn, cut, frayed, or broken slings are unsafe and could result in injury.

Discard immediately.

Lifting the Patient: Warning.

When elevated a few inches off the surface of the stationary object (wheelchair, commode, or bed) and before moving the patient, check again to make sure that the sling is properly connected to the hooks of the hander bar. If any attachments are not properly in place, lower the patient back onto the stationary object (wheelchair, commode, or bed) and correct this problem.

Adjustments for safety and comfort should be made before moving the patient.

Prior to the start of this survey on 01/26/2026, the facility has taken the following actions to correct the noncompliance:On 10/27/2025, V12(CNA/Certified Nursing Assistant) received formal one on one training on mechanical lift transfers, sling functions, sit to stand transfers, and one person transfers.On 10/27/2025, a facility wide audit was done to inspect all mechanical lift pads for damage.On 10/26/2025 to 11/04/2025, all certified nursing assistants were in-serviced on the proper technique and transfer mechanics for the use of the mechanical lifts, and sit to stand transfers, with competency return demonstrations.

Also, in-serviced on the inspection of the mechanical lift pads for damage.The Director of Nursing or designee to conduct random observations during different shifts of five residents three times a week for four weeks and monthly thereafter.

Any issues or concerns identified were to be addressed/ corrected immediately.

Audits started 10/27/2025 for four weeks and are ongoing monthly after the four weeks.The Administrator or designee to conduct random observations during different shifts of two laundry staff members three times a week for four weeks and monthly thereafter.

Audits started 10/27/2025 for four weeks and are ongoing monthly after the four weeks.A QA meetings were held on 11/25/2025 and 01/20/2026 with the facility Medical Director, Facility Administrator, and Director of Nursing to review the plan of correction of 10/26/2025.

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