WINDSOR PARK REHAB & NURSING CENTER
State inspectors recorded 5 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-06-30 — IMMEDIATE JEOPARDY (tag F0550, severity K)
Resident Rights Deficiencies · correction not recorded in CMS data
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-06-30 — IMMEDIATE JEOPARDY (tag F0604, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
2024-06-30 — IMMEDIATE JEOPARDY (tag F0603, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
2024-06-30 — IMMEDIATE JEOPARDY (tag F0578, severity K)
Resident Rights Deficiencies · correction not recorded in CMS data
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.
2024-06-30 — IMMEDIATE JEOPARDY (tag F0561, severity K)
Resident Rights Deficiencies · correction not recorded in CMS data
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Staffing, from payroll records
Nursing hours / resident / day
4.04
state median 3.31
Weekend staffing gap
−14%
fewer nursing hours on weekends · state median −11%
RN hours / resident / day
1.06
registered nurses only
Contract (agency) staff
1%
share of all nursing hours
Nursing staff turnover
19%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $306,240 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-06-30 | Fine | $306,240 |
Ownership
Ownership type: For profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2024-10-03 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2024-10-03 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2024-10-03 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-06-30 | F0550 | Resident Rights Deficiencies | K | not recorded |
| 2024-06-30 | F0561 | Resident Rights Deficiencies | K | not recorded |
| 2024-06-30 | F0578 | Resident Rights Deficiencies | K | not recorded |
| 2024-06-30 | F0603 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2024-06-30 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2024-06-30 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-06-30 | F0835 | Administration Deficiencies | F | not recorded |
| 2024-06-30 | F0841 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2023-10-24 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-10-24 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-10-24 | F0758 | Pharmacy Service Deficiencies | D | not recorded |