All citations for Windsor Grove Health and Rehabilitation
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.
Last standard health inspection on record
May 1, 2025
Showing 1 to 25 of 81 citations
No harm, with potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
The home gave a date the problem would be corrected (June 26, 2025).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
The home gave a date the problem would be corrected (June 2, 2021).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
The home gave a date the problem would be corrected (June 2, 2021).
No harm, with potential for more than minimal harm
Observe each nurse aide's job performance and give regular training.
The home gave a date the problem would be corrected (June 26, 2025).
No harm, with potential for more than minimal harm
Ensure that residents are free from significant medication errors.
The home gave a date the problem would be corrected (June 26, 2025).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
The home gave a date the problem would be corrected (October 17, 2025).
No harm, with potential for more than minimal harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
The home gave a date the problem would be corrected (January 4, 2025).
No harm, with potential for more than minimal harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
The home gave a date the problem would be corrected (January 4, 2025).
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.
The home gave a date the problem would be corrected (June 2, 2021).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
The home gave a date the problem would be corrected (June 2, 2021).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
The home gave a date the problem would be corrected (June 2, 2021).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
The home gave a date the problem would be corrected (June 2, 2021).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
The home gave a date the problem would be corrected (June 2, 2021).
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.
The home gave a date the problem would be corrected (June 2, 2021).
No harm, with potential for more than minimal harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
The home gave a date the problem would be corrected (August 6, 2019).
No harm, with potential for more than minimal harm
Respond appropriately to all alleged violations.
The home gave a date the problem would be corrected (August 6, 2019).
No harm, with potential for more than minimal harm
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
The home gave a date the problem would be corrected (August 6, 2019).
No harm, with potential for more than minimal harm
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
The home gave a date the problem would be corrected (August 6, 2019).
No harm, with potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
The home gave a date the problem would be corrected (August 6, 2019).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
The home gave a date the problem would be corrected (August 6, 2019).
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.
The home gave a date the problem would be corrected (August 12, 2019).
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.
The home gave a date the problem would be corrected (August 12, 2019).
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.
The home gave a date the problem would be corrected (August 12, 2019).
No harm, with potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
The home gave a date the problem would be corrected (June 26, 2025).
No harm, with potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
The home gave a date the problem would be corrected (June 26, 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.