Autumn Lake Healthcare at Windsor

Inspection history (53)

Records from December 2021 to April 2026.

• March 11, 2026 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2026-03-11 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2026-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-11.GOV

• March 11, 2026 · D

  Citation F0883

  Federal surveyors cited this nursing home on 2026-03-11 under CMS tag F0883 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2026-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-11.GOV

• March 11, 2026 · D

  Citation F0790

  Federal surveyors cited this nursing home on 2026-03-11 under CMS tag F0790 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide routine and 24-hour emergency dental care for each resident. The deficiency was recorded as corrected on 2026-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-11.GOV

• March 11, 2026 · D

  Citation F0644

  Federal surveyors cited this nursing home on 2026-03-11 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2026-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-11.GOV

• March 11, 2026 · E

  Citation F0881

  Federal surveyors cited this nursing home on 2026-03-11 under CMS tag F0881 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2026-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-11.GOV

• March 11, 2026 · D

  Citation F0559

  Federal surveyors cited this nursing home on 2026-03-11 under CMS tag F0559 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. The deficiency was recorded as corrected on 2026-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-11.GOV

• March 11, 2026 · D

  Citation F0609

  Federal surveyors cited this nursing home on 2026-03-11 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2026-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-11.GOV

• March 11, 2026 · D

  Citation F0628

  Federal surveyors cited this nursing home on 2026-03-11 under CMS tag F0628 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. The deficiency was recorded as corrected on 2026-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-11.GOV

• March 11, 2026 · E

  Citation F0759

  Federal surveyors cited this nursing home on 2026-03-11 under CMS tag F0759 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2026-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-11.GOV

• March 11, 2026 · B

  Citation F0582

  Federal surveyors cited this nursing home on 2026-03-11 under CMS tag F0582 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2026-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-11.GOV

• March 11, 2026 · B

  Citation F0842

  Federal surveyors cited this nursing home on 2026-03-11 under CMS tag F0842 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2026-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-11.GOV

• March 11, 2026 · D

  Citation F0887

  Federal surveyors cited this nursing home on 2026-03-11 under CMS tag F0887 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. The deficiency was recorded as corrected on 2026-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-11.GOV

• March 11, 2026 · D

  Citation F0580

  Federal surveyors cited this nursing home on 2026-03-11 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2026-04-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-11.GOV

• June 9, 2025 · D

  Citation F0600

  Federal surveyors cited this nursing home on 2025-06-09 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-06-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-09.GOV

• March 12, 2024 · D

  Citation F0660

  Federal surveyors cited this nursing home on 2024-03-12 under CMS tag F0660 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Plan the resident's discharge to meet the resident's goals and needs. The deficiency was recorded as corrected on 2024-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-12.GOV

• March 12, 2024 · B

  Citation F0641

  Federal surveyors cited this nursing home on 2024-03-12 under CMS tag F0641 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2024-03-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-12.GOV

• March 12, 2024 · D

  Citation F0790

  Federal surveyors cited this nursing home on 2024-03-12 under CMS tag F0790 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide routine and 24-hour emergency dental care for each resident. The deficiency was recorded as corrected on 2024-03-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-12.GOV

• March 12, 2024 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2024-03-12 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2024-03-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-12.GOV

• March 12, 2024 · E

  Citation F0580

  Federal surveyors cited this nursing home on 2024-03-12 under CMS tag F0580 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2024-03-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-12.GOV

• March 12, 2024 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2024-03-12 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-12.GOV

Penalties (2)

Total fines on file: $190,822

• March 11, 2026 · Fine

  Citation FINE-139648

  CMS recorded a civil money penalty of $171,390 against this nursing home on 2026-03-11 (Fine ID: 139648). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-11.GOV

• March 12, 2024 · Fine

  Citation FINE-5501

  CMS recorded a civil money penalty of $19,432 against this nursing home on 2024-03-12 (Fine ID: 5501). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-12.GOV

Staffing

Latest: 3.34 nurse staffing hours per resident per day (2026Q1)

Ownership

For profit - Corporation

1. Parent organization: Windsor Health and Rehabilitation Center LLC

   parent · PAC 5294036893

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

1. Sep 1, 2026Ownership changed

   The source now records ownership as "For profit - Corporation".

   Reported by CMS nursing homes (provider info)

2. Aug 6, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)

3. Jul 24, 2026Ownership changed

   The source now records ownership as "For profit - Corporation".

   Reported by CMS nursing homes (provider info)

4. Jul 24, 2026Ownership changed

   The source now records ownership as "For profit".

   Reported by CMS nursing homes (ownership)

5. Jul 23, 2026First appeared in our data

   This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.

   Reported by CMS nursing homes (provider info)