Facility profile · CCN 075011
Autumn Lake Healthcare At Windsor
32 federal citations on record , and 2 federal enforcement actions totaling $29,202.
Record summary
Federal record · Q1 202632
Total citations
16
Last 3 years
1
Actual harm+
2
Federal penalties
$29,202
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
32 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jun 9, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Mar 12, 2024 | F850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Complaint |
| Mar 12, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 12, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Mar 12, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Mar 12, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Mar 12, 2024 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard |
| Mar 12, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Mar 12, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Mar 12, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Mar 12, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Mar 12, 2024 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard |
| Mar 12, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Mar 12, 2024 | F641 | Ensure each resident receives an accurate assessment. | B | Standard |
| Mar 12, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard |
| Apr 25, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Complaint |
| Dec 7, 2021 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Dec 7, 2021 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 7, 2021 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Dec 7, 2021 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Dec 7, 2021 | F641 | Ensure each resident receives an accurate assessment. | B | Standard |
| Jul 11, 2019 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | C | Standard |
| Jul 11, 2019 | F814 | Dispose of garbage and refuse properly. | E | Standard |
| Jul 11, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jul 11, 2019 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| Jul 11, 2019 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Jul 11, 2019 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jul 11, 2019 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Jul 11, 2019 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jul 11, 2019 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Jul 11, 2019 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Jul 11, 2019 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $29,202 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 12, 2024 | Fine | $19,432 | — |
| Apr 25, 2023 | Fine | $9,770 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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