Windsor Gardens Convalescent Hospital

Inspection history (95)

• March 2, 2025 · D

  Citation F0759

  Federal surveyors cited this nursing home on 2025-03-02 under CMS tag F0759 (CMS scope/severity D: isolated, 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 2025-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-02.GOV

• February 12, 2025 · D

  Citation F0573

  Federal surveyors cited this nursing home on 2025-02-12 under CMS tag F0573 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Let each resident or the resident's legal representative access or purchase copies of all the resident's records. The deficiency was recorded as corrected on 2025-02-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-12.GOV

• January 24, 2025 · D

  Citation F0760

  Federal surveyors cited this nursing home on 2025-01-24 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2025-01-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-24.GOV

• November 5, 2024 · D

  Citation F0578

  Federal surveyors cited this nursing home on 2024-11-05 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-11-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-05.GOV

• October 30, 2024 · D

  Citation F0626

  Federal surveyors cited this nursing home on 2024-10-30 under CMS tag F0626 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. The deficiency was recorded as corrected on 2024-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-30.GOV

• August 15, 2024 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2024-08-15 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-08-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-15.GOV

• August 1, 2024 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2024-08-01 under CMS tag F0880 (CMS scope/severity D: isolated, 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 2024-08-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-01.GOV

• July 18, 2024 · F

  Citation F0727

  Federal surveyors cited this nursing home on 2024-07-18 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. The deficiency was recorded as corrected on 2024-07-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-18.GOV

• July 18, 2024 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2024-07-18 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-07-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-18.GOV

• July 18, 2024 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2024-07-18 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2024-07-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-18.GOV

• July 18, 2024 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2024-07-18 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-07-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-18.GOV

• July 18, 2024 · D

  Citation F0755

  Federal surveyors cited this nursing home on 2024-07-18 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2024-07-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-18.GOV

• July 2, 2024 · D

  Citation F0744

  Federal surveyors cited this nursing home on 2024-07-02 under CMS tag F0744 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. The deficiency was recorded as corrected on 2024-07-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-02.GOV

• July 2, 2024 · D

  Citation F0609

  Federal surveyors cited this nursing home on 2024-07-02 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 2024-07-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-02.GOV

• June 7, 2024 · D

  Citation F0835

  Federal surveyors cited this nursing home on 2024-06-07 under CMS tag F0835 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Administer the facility in a manner that enables it to use its resources effectively and efficiently. The deficiency was recorded as corrected on 2024-07-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-07.GOV

• June 7, 2024 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2024-06-07 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2024-07-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-07.GOV

• April 22, 2024 · D

  Citation F0585

  Federal surveyors cited this nursing home on 2024-04-22 under CMS tag F0585 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. The deficiency was recorded as corrected on 2024-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-22.GOV

• April 22, 2024 · E

  Citation F0580

  Federal surveyors cited this nursing home on 2024-04-22 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 2024-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-22.GOV

• April 22, 2024 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2024-04-22 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-22.GOV

• April 22, 2024 · D

  Citation F0755

  Federal surveyors cited this nursing home on 2024-04-22 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2024-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-22.GOV

Penalties

Total fines on file: $37,882

Staffing

Latest: 3.81 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Individual

1. Parent organization: Antelope Holdings II, LLC

   parent · PAC 3870954035