Facility profile · CCN 676402
Windemere At Westover Hills
22 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $8,281.
Record summary
Federal record · Q1 202622
Total citations
22
Last 3 years
2
Actual harm+
1
Federal penalties
$8,281
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
22 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 19, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Dec 19, 2025 | F761 | 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. | E | Standard |
| Dec 19, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Dec 19, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 19, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Apr 16, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Apr 16, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint |
| Sep 13, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Sep 13, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Sep 13, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Sep 13, 2024 | F761 | 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. | D | Standard |
| Sep 13, 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 |
| Sep 13, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard |
| Sep 13, 2024 | F642 | Ensure a qualified health professional conducts resident assessments. | D | Standard |
| Sep 13, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Sep 13, 2024 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard |
| Aug 23, 2024 | F761 | 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. | D | Complaint |
| Aug 18, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 18, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Aug 18, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Aug 18, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Aug 18, 2023 | 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 |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $8,281 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 16, 2025 | Fine | $8,281 | — |
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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