Facility profile · CCN 105568
Windsor Woods Rehab And Healthcare Center
16 federal citations on record .
Record summary
Federal record · Q1 202616
Total citations
9
Last 3 years
1
Actual harm+
0
Federal penalties
$0
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
16 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Apr 24, 2025 | 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 | Complaint |
| Apr 24, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Apr 24, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Jun 6, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jun 6, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Jun 6, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Jun 6, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jun 6, 2024 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Jun 6, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Aug 4, 2022 | F908 | Keep all essential equipment working safely. | E | Standard |
| Aug 4, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 4, 2022 | 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 |
| Aug 4, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Standard |
| Aug 4, 2022 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Aug 4, 2022 | 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 |
| Aug 4, 2022 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
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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