Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 345339

Windsor Rehabilitation And Healthcare Center

53 federal citations on record , including 3 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $249,991.

Abuse Icon 3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
53
Total citations
52
Last 3 years
5
Actual harm+
3
Federal penalties
$249,991
Total fines
1
Overall ★ rating

Most common violation categories here

Resident Rights12 Infection Control8 Abuse & Neglect7 Care Planning7 Medication & Pharmacy7

Most common F-tags at this facility

F5505 F6003 F8803 F7613 F8833

Citation history

53 on record
SurveyF-TagViolationSeveritySource
Jan 13, 2026F880Provide and implement an infection prevention and control program.EComplaint
Jan 13, 2026F760Ensure that residents are free from significant medication errors.EComplaint
Jan 13, 2026F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Jan 13, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 13, 2026F576Ensure residents have reasonable access to and privacy in their use of communication methods.CComplaint
Jan 13, 2026F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jan 13, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Jan 13, 2026F761Ensure 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
Jan 13, 2026F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jan 13, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jan 13, 2026F641Ensure each resident receives an accurate assessment.DStandard
Jan 13, 2026F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Nov 14, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Nov 14, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
May 28, 2025F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.EComplaint
May 28, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FComplaint
May 28, 2025F880Provide and implement an infection prevention and control program.FComplaint
May 28, 2025F585Honor 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.DComplaint
May 28, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
May 6, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.GComplaint
May 6, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Apr 10, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Nov 26, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.JComplaint
Nov 26, 2024F760Ensure that residents are free from significant medication errors.JComplaint
Oct 15, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Oct 15, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 15, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Oct 15, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint
Oct 15, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
Oct 15, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Oct 15, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Oct 15, 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.DStandard
Oct 15, 2024F727Have 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.FStandard
Oct 15, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Oct 15, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 15, 2024F641Ensure each resident receives an accurate assessment.DStandard
Oct 15, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Aug 6, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BComplaint
Aug 10, 2023F880Provide and implement an infection prevention and control program.EComplaint
Aug 10, 2023F760Ensure that residents are free from significant medication errors.DComplaint
Aug 10, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 10, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Aug 10, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EComplaint
Aug 10, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Aug 10, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Aug 10, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Aug 10, 2023F761Ensure 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
Aug 10, 2023F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Aug 10, 2023F732Post nurse staffing information every day.CStandard
Aug 10, 2023F727Have 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
Aug 10, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
Aug 10, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Mar 8, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $249,991 and 1 payment-denial actions spanning 17 days.

DateTypeFinePayment denial
May 6, 2025Fine$70,220—
May 6, 2025Payment Denial—May 27, 2025 · 17 days
Oct 15, 2024Fine$179,771—
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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