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.

Back to Autumn Lake Healthcare at Windsor

Last standard health inspection on record

March 11, 2026

Showing 1 to 15 of 15 citations

  1. No harm, with potential for more than minimal harm

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of March 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

  2. No harm, with potential for more than minimal harm

    Have exits that are accessible at all times.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of March 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

  3. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

  4. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of March 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

  5. No harm, with potential for more than minimal harm

    Meet other general requirements.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0100, Construction Deficiencies. Inspection of March 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

  6. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of March 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

  7. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

  8. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

  9. No harm, with potential for more than minimal harm

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of March 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

  10. No harm, with potential for more than minimal harm

    Meet other general requirements that are deficient.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0500, Services Deficiencies. Inspection of March 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

  11. No harm, with potential for more than minimal harm

    Install properly constructed and protected linen or trash chutes.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0541, Services Deficiencies. Inspection of March 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

  12. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

  13. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

  14. No harm, with potential for more than minimal harm

    Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0791, Miscellaneous Deficiencies. Inspection of March 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

  15. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 11, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2026).

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.