Windsor Grove Health And Rehabilitation

Inspection history (62)

• November 14, 2024 · D

  Citation F0691

  Federal surveyors cited this nursing home on 2024-11-14 under CMS tag F0691 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. The deficiency was recorded as corrected on 2025-01-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-14.GOV

• November 14, 2024 · E

  Citation F0919

  Federal surveyors cited this nursing home on 2024-11-14 under CMS tag F0919 (CMS scope/severity E: pattern, 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 2025-01-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-14.GOV

• November 14, 2024 · D

  Citation F0584

  Federal surveyors cited this nursing home on 2024-11-14 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. The deficiency was recorded as corrected on 2025-01-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-14.GOV

• November 14, 2024 · D

  Citation F0692

  Federal surveyors cited this nursing home on 2024-11-14 under CMS tag F0692 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2025-01-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-14.GOV

• November 14, 2024 · E

  Citation F0925

  Federal surveyors cited this nursing home on 2024-11-14 under CMS tag F0925 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. The deficiency was recorded as corrected on 2025-01-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-14.GOV

• March 26, 2021 · D

  Citation F0602

  Federal surveyors cited this nursing home on 2021-03-26 under CMS tag F0602 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from the wrongful use of the resident's belongings or money. The deficiency was recorded as corrected on 2021-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-26.GOV

• March 26, 2021 · D

  Citation F0622

  Federal surveyors cited this nursing home on 2021-03-26 under CMS tag F0622 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. The deficiency was recorded as corrected on 2021-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-26.GOV

• March 26, 2021 · D

  Citation F0881

  Federal surveyors cited this nursing home on 2021-03-26 under CMS tag F0881 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2021-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-26.GOV

• March 26, 2021 · D

  Citation F0623

  Federal surveyors cited this nursing home on 2021-03-26 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2021-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-26.GOV

• March 26, 2021 · D

  Citation F0775

  Federal surveyors cited this nursing home on 2021-03-26 under CMS tag F0775 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep complete, dated laboratory records in the resident's record. The deficiency was recorded as corrected on 2021-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-26.GOV

• March 26, 2021 · D

  Citation F0574

  Federal surveyors cited this nursing home on 2021-03-26 under CMS tag F0574 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for The resident has the right to receive notices in a format and a language he or she understands. The deficiency was recorded as corrected on 2021-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-26.GOV

• March 26, 2021 · D

  Citation F0625

  Federal surveyors cited this nursing home on 2021-03-26 under CMS tag F0625 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. The deficiency was recorded as corrected on 2021-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-26.GOV

• March 26, 2021 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2021-03-26 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal 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 2020-07-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-26.GOV

• March 26, 2021 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2021-03-26 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 2021-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-26.GOV

• March 26, 2021 · D

  Citation F0567

  Federal surveyors cited this nursing home on 2021-03-26 under CMS tag F0567 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to manage his or her financial affairs. The deficiency was recorded as corrected on 2021-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-26.GOV

• March 26, 2021 · D

  Citation F0550

  Federal surveyors cited this nursing home on 2021-03-26 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 2021-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-26.GOV

• March 26, 2021 · D

  Citation F0758

  Federal surveyors cited this nursing home on 2021-03-26 under CMS tag F0758 (CMS scope/severity D: isolated, 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 2021-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-26.GOV

• March 26, 2021 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2021-03-26 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 2021-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-26.GOV

• March 26, 2021 · D

  Citation F0641

  Federal surveyors cited this nursing home on 2021-03-26 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2021-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-26.GOV

• March 26, 2021 · D

  Citation F0773

  Federal surveyors cited this nursing home on 2021-03-26 under CMS tag F0773 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. The deficiency was recorded as corrected on 2021-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-03-26.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 2.77 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Corporation

1. Parent organization: Windsor Parentco LLC

   parent · PAC 7315443017