Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 675409

Windsor Mission Oaks

37 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $10,842.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
37
Total citations
26
Last 3 years
1
Actual harm+
1
Federal penalties
$10,842
Total fines
2
Overall ★ rating

Most common violation categories here

Resident Rights6 Quality of Care6 Environment & Safety5 Care Planning4 Medication & Pharmacy4

Most common F-tags at this facility

F6903 F8123 F9253 F7262 F7612

Citation history

37 on record
SurveyF-TagViolationSeveritySource
Jun 27, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard
Jun 27, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Jun 27, 2025F880Provide and implement an infection prevention and control program.EStandard
Jun 27, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jun 27, 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.EStandard
Jun 27, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Jun 27, 2025F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Jun 27, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
Jun 27, 2025F657Develop 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, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
May 23, 2024F610Respond appropriately to all alleged violations.DComplaint
May 23, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 8, 2024F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EComplaint
May 8, 2024F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.EComplaint
May 8, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
May 8, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
May 8, 2024F880Provide and implement an infection prevention and control program.DComplaint
May 8, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
May 8, 2024F761Ensure 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.EComplaint
May 8, 2024F758Implement 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.DComplaint
May 8, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
May 8, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
May 8, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
May 8, 2024F583Keep residents' personal and medical records private and confidential.DComplaint
May 8, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jul 2, 2023F760Ensure that residents are free from significant medication errors.EComplaint
Mar 31, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard
Mar 31, 2023F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Mar 31, 2023F814Dispose of garbage and refuse properly.CStandard
Mar 31, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 31, 2023F690Provide 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 31, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Mar 31, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 31, 2023F641Ensure each resident receives an accurate assessment.DStandard
Mar 31, 2023F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Mar 31, 2023F583Keep residents' personal and medical records private and confidential.DStandard
Mar 31, 2023F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $10,842 .

DateTypeFinePayment denial
May 8, 2024Fine$10,842—
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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