All citations for Windsor 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
July 13, 2026
Showing 1 to 25 of 44 citations
Harm to a resident
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
The home gave a date the problem would be corrected (July 31, 2026).
No harm, with potential for more than minimal harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
The home gave a date the problem would be corrected (July 31, 2026).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
The home gave a date the problem would be corrected (August 11, 2026).
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.
The home gave a date the problem would be corrected (May 3, 2025).
No harm, with potential for more than minimal harm
Develop Emergency Preparedness policies and procedures.
The home gave a date the problem would be corrected (April 11, 2025).
No harm, with potential for more than minimal harm
Establish policies and procedures including evacuation.
The home gave a date the problem would be corrected (April 11, 2025).
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 (May 3, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
The home gave a date the problem would be corrected (April 11, 2025).
No harm, with potential for more than minimal harm
Provide activities to meet all resident's needs.
The home gave a date the problem would be corrected (July 31, 2026).
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 (July 31, 2026).
No harm, with potential for more than minimal harm
Provide or obtain dental services for each resident.
The home gave a date the problem would be corrected (July 31, 2026).
No harm, with potential for more than minimal harm
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
The home gave a date the problem would be corrected (July 31, 2026).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (July 31, 2026).
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 (May 3, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (December 8, 2023).
No harm, with potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
The home gave a date the problem would be corrected (July 31, 2026).
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 (July 31, 2026).
No harm, with potential for more than minimal harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
The home gave a date the problem would be corrected (July 31, 2026).
No harm, with potential for more than minimal harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
The home gave a date the problem would be corrected (July 31, 2026).
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 (July 31, 2026).
No harm, with potential for more than minimal harm
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
The home gave a date the problem would be corrected (July 31, 2026).
No harm, with potential for more than minimal harm
Assess the resident when there is a significant change in condition
The home gave a date the problem would be corrected (July 31, 2026).
No harm, with potential for more than minimal harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
The home gave a date the problem would be corrected (July 31, 2026).
No harm, with potential for more than minimal harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
The home gave a date the problem would be corrected (July 31, 2026).
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.
Past non-compliance: already corrected by the time of the inspection.
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.