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 7 of 7 citations

  1. 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.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of June 27, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2019).

  2. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of June 27, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2019).

  3. 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 June 27, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2019).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 27, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2019).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 27, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 12, 2019).

  6. No harm, with potential for minimal harm

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of June 27, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2019).

  7. No harm, with potential for minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of June 27, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2019).

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.