All citations for Four Winds Manor

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 Four Winds Manor

Last standard health inspection on record

September 4, 2025

Showing 1 to 25 of 54 citations

  1. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2025).

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of September 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2025).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of September 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 22, 2025).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Widespread (many residents). CMS level F.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of August 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 26, 2024).

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

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Widespread (many residents). CMS level F.

    Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of August 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

  6. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 6, 2024).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of August 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2024).

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of August 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 27, 2024).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of August 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2024).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of August 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 11, 2024).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 17, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2023).

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

    Install properly constructed windows in hallway walls or doors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0364, Smoke Deficiencies. Inspection of April 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2023).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of September 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2025).

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

    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

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

    Fire safety citation K-0132, Construction Deficiencies. Inspection of September 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2025).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 4, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2025).

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

    Provide appropriate foot care.

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

    Health citation F-0687, Quality of Life and Care Deficiencies. Inspection of August 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

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

    Fire safety citation K-0132, Construction Deficiencies. Inspection of August 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of August 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 6, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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

    Have properly installed hallway dispensers for alcohol-based hand rub.

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

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of April 19, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 19, 2023).

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.