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.

Back to Windsor Health and Rehabilitation

Last standard health inspection on record

July 13, 2026

Showing 1 to 16 of 16 citations

  1. 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 March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2025).

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

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

    Establish policies and procedures including evacuation.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2025).

  5. 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 March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  6. 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 March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2025).

  7. 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 July 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

  8. 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 March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2025).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2025).

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

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

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

    Health citation F-0694, Quality of Life and Care Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2025).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2025).

  12. 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 March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2025).

  13. 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 March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2025).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2025).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  16. 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.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of March 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 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.