All citations for Windemere at Westover Hills

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 Windemere at Westover Hills

Last standard health inspection on record

December 19, 2025

Showing 1 to 10 of 10 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 August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2023).

  2. 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 August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2023).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2023).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2023).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2023).

  6. 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 August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2023).

  7. 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.

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

    Fire safety citation K-0700, Miscellaneous Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2023).

  8. 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.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2023).

  9. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 4, 2024).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of August 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2023).

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.