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.

Back to Windsor Grove Health and Rehabilitation

Last standard health inspection on record

May 1, 2025

Showing 1 to 20 of 20 citations

  1. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

  5. 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.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

  8. 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 May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 1, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Assist a resident in gaining access to vision and hearing services.

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

    Health citation F-0685, Quality of Life and Care Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Provide appropriate foot care.

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

    Health citation F-0687, Quality of Life and Care Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

  18. 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 May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 1, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 26, 2025).

  20. 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.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    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 October 1, 2026. Inspection results describe the home at the time of each inspection.