All citations for Windsor the Ridge Rehabilitation 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 the Ridge Rehabilitation Center

Last standard health inspection on record

November 25, 2025

Showing 1 to 25 of 29 citations

  1. 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 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 23, 2024).

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

    Properly provide smoke detection systems in areas open to corridors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 23, 2024).

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

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

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

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

    Health citation F-0800, Nutrition and Dietary Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

  5. 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 March 29, 2024. Found during a standard inspection.

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

  6. 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 March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 23, 2024).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 23, 2024).

  8. 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 November 15, 2024. Found during a complaint inspection.

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

  9. 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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 19, 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 March 29, 2024. Found during a standard inspection.

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

  15. 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 March 29, 2024. Found during a standard inspection.

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

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

  17. 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 March 29, 2024. Found during a standard inspection.

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

  18. 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 29, 2024. Found during a standard inspection.

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

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

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

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

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

    Health citation F-0808, Nutrition and Dietary Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

  21. 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 29, 2024. Found during a standard inspection.

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

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

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

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

    Health citation F-0921, Environmental Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

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

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

    Provide primary/alternate means for communication.

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

    Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 23, 2024).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 23, 2024).

  25. 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 March 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 23, 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.