Windsor Gardens Convalescent Hospital

Inspection history (95)

• March 8, 2024 · E

  Citation F0758

  Federal surveyors cited this nursing home on 2024-03-08 under CMS tag F0758 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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 l…. The deficiency was recorded as corrected on 2024-03-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-08.GOV

• March 8, 2024 · D

  Citation F0558

  Federal surveyors cited this nursing home on 2024-03-08 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2024-03-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-08.GOV

• March 8, 2024 · E

  Citation F0755

  Federal surveyors cited this nursing home on 2024-03-08 under CMS tag F0755 (CMS scope/severity E: pattern, 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 2024-03-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-08.GOV

• March 6, 2024 · G

  Citation F0689

  Federal surveyors cited this nursing home on 2024-03-06 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-03-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-06.GOV

• March 6, 2024 · D

  Citation F0760

  Federal surveyors cited this nursing home on 2024-03-06 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 2024-03-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-06.GOV

• February 23, 2024 · D

  Citation F0609

  Federal surveyors cited this nursing home on 2024-02-23 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 2024-03-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-23.GOV

• February 8, 2024 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2024-02-08 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-08.GOV

• February 8, 2024 · D

  Citation F0644

  Federal surveyors cited this nursing home on 2024-02-08 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 2024-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-08.GOV

• February 8, 2024 · E

  Citation F0578

  Federal surveyors cited this nursing home on 2024-02-08 under CMS tag F0578 (CMS scope/severity E: pattern, 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 2024-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-08.GOV

• February 8, 2024 · D

  Citation F0686

  Federal surveyors cited this nursing home on 2024-02-08 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-08.GOV

• February 8, 2024 · E

  Citation F0656

  Federal surveyors cited this nursing home on 2024-02-08 under CMS tag F0656 (CMS scope/severity E: pattern, 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 2024-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-08.GOV

• February 8, 2024 · E

  Citation F0732

  Federal surveyors cited this nursing home on 2024-02-08 under CMS tag F0732 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2024-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-08.GOV

• February 8, 2024 · D

  Citation F0676

  Federal surveyors cited this nursing home on 2024-02-08 under CMS tag F0676 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. The deficiency was recorded as corrected on 2024-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-08.GOV

• February 8, 2024 · D

  Citation F0550

  Federal surveyors cited this nursing home on 2024-02-08 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2024-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-08.GOV

• February 8, 2024 · D

  Citation F0552

  Federal surveyors cited this nursing home on 2024-02-08 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2024-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-08.GOV

• February 8, 2024 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2024-02-08 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 2024-03-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-08.GOV

• January 23, 2024 · D

  Citation F0806

  Federal surveyors cited this nursing home on 2024-01-23 under CMS tag F0806 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. The deficiency was recorded as corrected on 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-23.GOV

• January 23, 2024 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2024-01-23 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 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-23.GOV

• January 23, 2024 · D

  Citation F0919

  Federal surveyors cited this nursing home on 2024-01-23 under CMS tag F0919 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure that a working call system is available in each resident's bathroom and bathing area. The deficiency was recorded as corrected on 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-23.GOV

• January 23, 2024 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2024-01-23 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 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-23.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