Facility profile · CCN 676391
Windsor Calallen
30 federal citations on record , and 3 federal enforcement actions totaling $12,893.
Record summary
Federal record · Q1 202630
Total citations
27
Last 3 years
1
Actual harm+
3
Federal penalties
$12,893
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
30 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 21, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Aug 8, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| May 7, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| May 7, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| May 7, 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. | D | Standard |
| May 7, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| May 7, 2025 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Apr 9, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Apr 9, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Apr 4, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint |
| Feb 20, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Feb 20, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Jul 1, 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 |
| Mar 6, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Mar 6, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Mar 6, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 6, 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 6, 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 |
| Mar 6, 2024 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| Mar 6, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Mar 6, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Mar 6, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard |
| Mar 6, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Jan 25, 2024 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint |
| Jan 25, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| Nov 19, 2023 | 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 |
| May 16, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Apr 14, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Apr 14, 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 | Complaint |
| Jan 20, 2023 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $12,893 and 1 payment-denial actions spanning 3 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 25, 2024 | Fine | $4,823 | — |
| Apr 14, 2023 | Fine | $8,070 | — |
| Apr 14, 2023 | Payment Denial | — | May 19, 2023 · 3 days |
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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