All citations for Windsor Point Continuing Care

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 Point Continuing Care

Last standard health inspection on record

December 31, 2025

Showing 1 to 18 of 18 citations

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2024).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2024).

  3. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2024).

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

    Have power receptacles that are properly grounded.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2024).

  5. 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 October 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2024).

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

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Widespread (many residents). CMS level F.

    Health citation F-0847, Administration Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 23, 2023).

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

    Provide a neutral and fair arbitration process and agree to arbitrator and venue.

    Widespread (many residents). CMS level F.

    Health citation F-0848, Administration Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 23, 2023).

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

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Widespread (many residents). CMS level F.

    Health citation F-0851, Administration Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 23, 2023).

  9. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2025).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

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

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

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

  12. 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 November 27, 2024. Found during a standard inspection.

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

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

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

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

    Health citation F-0728, Nursing and Physician Services Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

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

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 23, 2023).

  15. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of July 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2022).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 15, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 18, 2022).

  17. No harm, with potential for minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Widespread (many residents). CMS level C.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.

    The home has a plan to correct it (November 23, 2023).

  18. No harm, with potential for minimal harm

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.

    The home has a plan to correct it (December 25, 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.