All citations for Windemere Park Health and Rehabilitation 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 Windemere Park Health and Rehabilitation Center

Last standard health inspection on record

April 30, 2025

Showing 1 to 25 of 53 citations

No harm, with potential for more than minimal harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Widespread (many residents). CMS level F.
Health citation F-0813, Nutrition and Dietary Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 28, 2025).
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 April 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 28, 2025).
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 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 28, 2025).
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 April 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 28, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 28, 2025).
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 April 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 28, 2025).
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 April 4, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (May 15, 2024).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2024).
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 4, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2024).
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 April 4, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2024).
No harm, with potential for more than minimal harm
Have elevators that firefighters can control in the event of a fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0531, Services Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2024).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2024).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2024).
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 April 4, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2024).
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.
Widespread (many residents). CMS level F.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2023).
No harm, with potential for more than minimal harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Widespread (many residents). CMS level F.
Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2023).
No harm, with potential for more than minimal harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Widespread (many residents). CMS level F.
Health citation F-0865, Administration Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2023).
No harm, with potential for more than minimal harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Widespread (many residents). CMS level F.
Health citation F-0868, Administration Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2023).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2023).
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 January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2023).
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 January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2023).
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 January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2023).
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 January 11, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2023).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0211, Egress Deficiencies. Inspection of April 30, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 28, 2025).

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.