Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 495347

Windsor Grove Health And Rehabilitation

62 federal citations on record .

Record summary

Federal record · Q1 2026
62
Total citations
25
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Resident Rights16 Quality of Care13 Care Planning8 Abuse & Neglect7 Medication & Pharmacy7

Most common F-tags at this facility

F6923 F7613 F5802 F6092 F6102

Citation history

62 on record
SurveyF-TagViolationSeveritySource
May 1, 2025F880Provide and implement an infection prevention and control program.DComplaint
May 1, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 1, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard
May 1, 2025F761Ensure 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.DStandard
May 1, 2025F760Ensure that residents are free from significant medication errors.EStandard
May 1, 2025F730Observe each nurse aide's job performance and give regular training.EStandard
May 1, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard
May 1, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
May 1, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 1, 2025F687Provide appropriate foot care.DStandard
May 1, 2025F685Assist a resident in gaining access to vision and hearing services.DStandard
May 1, 2025F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DStandard
May 1, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
May 1, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
May 1, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
May 1, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 1, 2025F610Respond appropriately to all alleged violations.DStandard
May 1, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
May 1, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
May 1, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Nov 14, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Nov 14, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint
Nov 14, 2024F692Provide enough food/fluids to maintain a resident's health.DComplaint
Nov 14, 2024F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DComplaint
Nov 14, 2024F584Honor 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.DComplaint
Mar 26, 2021F881Implement a program that monitors antibiotic use.DStandard
Mar 26, 2021F775Keep complete, dated laboratory records in the resident's record.DStandard
Mar 26, 2021F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DStandard
Mar 26, 2021F761Ensure 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.DStandard
Mar 26, 2021F758Implement 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.DStandard
Mar 26, 2021F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Mar 26, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Mar 26, 2021F641Ensure each resident receives an accurate assessment.DStandard
Mar 26, 2021F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Mar 26, 2021F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Mar 26, 2021F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Mar 26, 2021F602Protect each resident from the wrongful use of the resident's belongings or money.DStandard
Mar 26, 2021F574The resident has the right to receive notices in a format and a language he or she understands.DStandard
Mar 26, 2021F567Honor the resident's right to manage his or her financial affairs.DStandard
Mar 26, 2021F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jun 27, 2019F880Provide and implement an infection prevention and control program.DStandard
Jun 27, 2019F761Ensure 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.DStandard
Jun 27, 2019F760Ensure that residents are free from significant medication errors.DStandard
Jun 27, 2019F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jun 27, 2019F727Have 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.DStandard
Jun 27, 2019F692Provide enough food/fluids to maintain a resident's health.DStandard
Jun 27, 2019F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Jun 27, 2019F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Jun 27, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 27, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jun 27, 2019F641Ensure each resident receives an accurate assessment.DStandard
Jun 27, 2019F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EStandard
Jun 27, 2019F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.EStandard
Jun 27, 2019F610Respond appropriately to all alleged violations.EStandard
Jun 27, 2019F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Jun 27, 2019F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Jun 27, 2019F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Jun 27, 2019F584Honor 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.DStandard
Jun 27, 2019F583Keep residents' personal and medical records private and confidential.DStandard
Jun 27, 2019F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Jun 27, 2019F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jun 27, 2019F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard
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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