All citations for Winchester Gardens Health Care Center

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 Winchester Gardens Health Care Center

Last standard health inspection on record

September 5, 2025

Showing 1 to 16 of 16 citations

  1. 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 September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

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

    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0343, Smoke Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2025).

  9. 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 September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2026).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

  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 September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of February 20, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 20, 2026).

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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

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

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

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

    Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of September 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.