All citations for Windsor Nursing and Rehabilitation Center of Duval

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 Nursing and Rehabilitation Center of Duval

Last standard health inspection on record

May 22, 2026

Showing 1 to 18 of 18 citations

  1. Immediate jeopardy to resident health or safety

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Widespread (many residents). CMS level L.

    Health citation F-0921, Environmental Deficiencies. Inspection of January 27, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 28, 2024).

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of January 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 27, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 28, 2024).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of January 27, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 28, 2024).

  6. 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.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of January 27, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 28, 2024).

  7. 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 January 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 1, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 7, 2023).

  10. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 4, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 5, 2023).

  11. 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 18, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 19, 2024).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of January 27, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 28, 2024).

  13. 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

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of January 27, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 28, 2024).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of January 27, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 28, 2024).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of January 27, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 28, 2024).

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

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of January 27, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 28, 2024).

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

    Have policies on smoking.

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

    Health citation F-0926, Environmental Deficiencies. Inspection of January 27, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 28, 2024).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of January 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

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.