All citations for Windsor Park Rehab & Nursing Center

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 Park Rehab & Nursing Center

Last standard health inspection on record

October 3, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 21 of 21 citations

  1. Immediate jeopardy to resident health or safety

    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 K.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of June 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 5, 2024).

  2. Immediate jeopardy to resident health or safety

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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

    Health citation F-0561, Resident Rights Deficiencies. Inspection of June 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 5, 2024).

  3. Immediate jeopardy to resident health or safety

    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.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of June 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 5, 2024).

  4. Immediate jeopardy to resident health or safety

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

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

    Health citation F-0603, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 5, 2024).

  5. Immediate jeopardy to resident health or safety

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 5, 2024).

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

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of June 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 5, 2024).

  7. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2022).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2024).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of June 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 5, 2024).

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

    Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

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

    Health citation F-0841, Nursing and Physician Services Deficiencies. Inspection of June 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 5, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2022).

  12. 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 October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2024).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 25, 2024).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 25, 2024).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 24, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

  16. 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 October 24, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

  17. 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 October 24, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2022).

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 1, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2022).

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

    Have an enclosure around a vertical opening shaft.

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

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of October 29, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2019).

  21. No harm, with potential for minimal harm

    Post nurse staffing information every day.

    Widespread (many residents). CMS level C.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of October 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 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.