Facility profile · CCN 225349
Windsor Nursing & Retirement Home
42 federal citations on record , and 1 federal enforcement actions totaling $12,386.
Record summary
Federal record · Q1 202642
Total citations
19
Last 3 years
2
Actual harm+
1
Federal penalties
$12,386
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
42 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 9, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Jan 9, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jan 9, 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 |
| Jan 9, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jan 9, 2025 | F685 | Assist a resident in gaining access to vision and hearing services. | E | Standard |
| Jan 9, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jan 9, 2025 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard |
| Jan 9, 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. | E | Standard |
| Oct 12, 2023 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard |
| Oct 12, 2023 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Oct 12, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Oct 12, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Oct 12, 2023 | F685 | Assist a resident in gaining access to vision and hearing services. | E | Standard |
| Oct 12, 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 |
| Oct 12, 2023 | 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. | B | Standard |
| Oct 12, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard |
| Oct 12, 2023 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard |
| Oct 12, 2023 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Jun 1, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Mar 13, 2023 | F886 | Perform COVID19 testing on residents and staff. | F | — |
| Mar 13, 2023 | F880 | Provide and implement an infection prevention and control program. | D | — |
| Apr 14, 2021 | F881 | Implement a program that monitors antibiotic use. | F | Standard |
| Apr 14, 2021 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Apr 14, 2021 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard |
| Apr 14, 2021 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Apr 14, 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. | E | Standard |
| Apr 14, 2021 | 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 |
| Apr 14, 2021 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Apr 14, 2021 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Apr 14, 2021 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Apr 14, 2021 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Apr 14, 2021 | F687 | Provide appropriate foot care. | D | Standard |
| Apr 14, 2021 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Standard |
| Apr 14, 2021 | 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 |
| Apr 14, 2021 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Apr 14, 2021 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Apr 14, 2021 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Apr 14, 2021 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Apr 14, 2021 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard |
| Apr 14, 2021 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | F | Standard |
| Apr 14, 2021 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Apr 14, 2021 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $12,386 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 12, 2023 | Fine | $12,386 | — |
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.
Concerned about care at Windsor Nursing & Retirement Home?
An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.
- Consultation is free and confidential
- You pay nothing unless there is a recovery
- Your note is shared only with vetted plaintiff attorneys