All citations for Autumn Lake Healthcare at Windsor
State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.
Last standard health inspection on record
March 11, 2026
Showing 1 to 25 of 91 citations
Harm to a resident
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
The home gave a date the problem would be corrected (April 20, 2026).
No harm, with potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
The home gave a date the problem would be corrected (April 20, 2026).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
The home gave a date the problem would be corrected (May 22, 2026).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
The home gave a date the problem would be corrected (February 27, 2024).
No harm, with potential for more than minimal harm
Establish emergency prep training and testing.
The home gave a date the problem would be corrected (February 27, 2024).
No harm, with potential for more than minimal harm
Establish staff and initial training requirements.
The home gave a date the problem would be corrected (February 27, 2024).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
The home gave a date the problem would be corrected (February 27, 2024).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
The home gave a date the problem would be corrected (February 27, 2024).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
The home gave a date the problem would be corrected (February 28, 2024).
No harm, with potential for more than minimal harm
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
The home gave a date the problem would be corrected (February 27, 2024).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
The home gave a date the problem would be corrected (February 27, 2024).
No harm, with potential for more than minimal harm
Properly provide smoke detection systems in areas open to corridors.
The home gave a date the problem would be corrected (January 28, 2022).
No harm, with potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
The home gave a date the problem would be corrected (April 20, 2026).
No harm, with potential for more than minimal harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
The home gave a date the problem would be corrected (April 20, 2026).
No harm, with potential for more than minimal harm
Observe each nurse aide's job performance and give regular training.
The home gave a date the problem would be corrected (April 20, 2026).
No harm, with potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
The home gave a date the problem would be corrected (April 20, 2026).
No harm, with potential for more than minimal harm
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.
The home gave a date the problem would be corrected (April 20, 2026).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
The home gave a date the problem would be corrected (April 20, 2026).
No harm, with potential for more than minimal harm
Implement a program that monitors antibiotic use.
The home gave a date the problem would be corrected (April 20, 2026).
No harm, with potential for more than minimal harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
The home gave a date the problem would be corrected (April 20, 2026).
No harm, with potential for more than minimal harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
The home gave a date the problem would be corrected (April 20, 2026).
No harm, with potential for more than minimal harm
Have exits that are accessible at all times.
The home gave a date the problem would be corrected (May 22, 2026).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
The home gave a date the problem would be corrected (May 22, 2026).
No harm, with potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
The home gave a date the problem would be corrected (March 15, 2024).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
The home gave a date the problem would be corrected (March 15, 2024).
Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.