Windsor House

Certification

Medicare-certified.

Ratings

Inspection history (24)

Records from April 2018 to September 2023.

• September 20, 2023

  Tag F0740

  Ensure each resident must receive and the facility must provide necessary behavioral health care and services..

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 19, 2023.

• September 20, 2023

  Tag F0580

  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident..

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 19, 2023.

• September 20, 2023

  Tag F0689

  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 19, 2023.

• September 20, 2023

  Tag F0600

  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..

  Severity J: isolated, immediate jeopardy. Corrected October 19, 2023.

• September 20, 2023

  Tag F0607

  Develop and implement policies and procedures to prevent abuse, neglect, and theft..

  Severity J: isolated, immediate jeopardy. Corrected October 19, 2023.

• August 24, 2023

  Tag F0880

  Provide and implement an infection prevention and control program..

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 28, 2023.

• August 24, 2023

  Tag F0755

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 28, 2023.

• August 24, 2023

  Tag F0584

  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..

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 28, 2023.

• August 24, 2023

  Tag F0842

  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards..

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 28, 2023.

• May 29, 2021

  Tag F0625

  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..

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 2, 2021.

• May 29, 2021

  Tag F0692

  Provide enough food/fluids to maintain a resident's health..

  Severity G: isolated, actual harm. Corrected July 2, 2021.

• May 29, 2021

  Tag F0641

  Ensure each resident receives an accurate assessment..

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 2, 2021.

• May 29, 2021

  Tag F0584

  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..

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 2, 2021.

• May 29, 2021

  Tag F0686

  Provide appropriate pressure ulcer care and prevent new ulcers from developing..

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 2, 2021.

• May 29, 2021

  Tag F0790

  Provide routine and 24-hour emergency dental care for each resident..

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 2, 2021.

• May 29, 2021

  Tag F0580

  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident..

  Severity G: isolated, actual harm. Corrected July 2, 2021.

• May 29, 2021

  Tag F0690

  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections..

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 2, 2021.

• May 29, 2021

  Tag F0842

  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards..

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 2, 2021.

• May 29, 2021

  Tag F0880

  Provide and implement an infection prevention and control program..

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 2, 2021.

• May 29, 2021

  Tag F0761

  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..

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 2, 2021.

Penalties (1)

Total fines: $266,231

• August 24, 2023 · Fine

  CMS recorded a civil money penalty of $266,231 against this nursing home on August 24, 2023.

Staffing

3.05 nurse hours per resident per day in Q2 2026, up from 2.76 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

• Parent company: Diversicare Leasing LP