Facility profile · CCN 015397
Windsor House
24 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $266,231.
Record summary
Federal record · Q1 202624
Total citations
9
Last 3 years
4
Actual harm+
1
Federal penalties
$266,231
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
24 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Sep 20, 2023 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint |
| Sep 20, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 20, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint |
| Sep 20, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Sep 20, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Aug 24, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Aug 24, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Aug 24, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Aug 24, 2023 | 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 | Complaint |
| May 29, 2021 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| May 29, 2021 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| May 29, 2021 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard |
| May 29, 2021 | 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 29, 2021 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Standard |
| May 29, 2021 | 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 |
| May 29, 2021 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| May 29, 2021 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| May 29, 2021 | F625 | Notify 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. | F | Standard |
| May 29, 2021 | 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 | Standard |
| May 29, 2021 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Standard |
| Mar 7, 2019 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Apr 5, 2018 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Apr 5, 2018 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Apr 5, 2018 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $266,231 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 24, 2023 | Fine | $266,231 | — |
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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