Public Record
Windsor Woods Rehab and Healthcare Center
From CMS
Facility profile
- CMS overall rating
- 3 / 5
- Certified beds
- 103
- Avg. residents per day
- 99.6
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 20
- Inspections on file
- 5
- Last inspection
- 2025-04-24
*CMS
*CMS
*CMS
Citations
20 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0849Generalpotential for harm
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0699Generalpotential for harm
Provide care or services that was trauma informed and/or culturally competent.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0583Generalpotential for harm
Keep residents' personal and medical records private and confidential.
- 0584Generalpotential for harm
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.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0692Seriousactual harm
Provide enough food/fluids to maintain a resident's health.
- 0761Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0908Generalpotential for harm
Keep all essential equipment working safely.
- 0200Generalpotential for harm
Meet other general requirements.
- 0923Generalpotential for harm
Have proper medical gas storage and administration areas.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- Inspection3 deficiencies
F 0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Residents Affected - Few Based…
Read full statement of deficiencies - Inspection6 deficiencies
F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 2. During an…
Read full statement of deficiencies - View inspection reportInspection10 deficiencies
- Inspection10 deficiencies
F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and policy reviews the facility failed to ensure privacy…
Read full statement of deficiencies - View inspection reportInspection1 deficiency
FAQ
Questions and answers
- What is Windsor Woods Rehab and Healthcare Center?
- Windsor Woods Rehab and Healthcare Center is a Medicare- and Medicaid-certified nursing home in Hudson, FL, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 105568.
- What is the CMS rating for Windsor Woods Rehab and Healthcare Center?
- Windsor Woods Rehab and Healthcare Center has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Windsor Woods Rehab and Healthcare Center have?
- Windsor Woods Rehab and Healthcare Center is certified for 103 beds. It serves an average of 99.6 residents per day.
- How many citations does Windsor Woods Rehab and Healthcare Center have?
- Windsor Woods Rehab and Healthcare Center has 20 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Windsor Woods Rehab and Healthcare Center last inspected?
- Windsor Woods Rehab and Healthcare Center was last inspected on April 24, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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