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Inspection visit

Fire Safety inspection

WINDSOR HEALTH CARE CENTERCMS #36546013 citations on this visit
13 citations recorded

Citations

13 citations recorded*CMS

This is a Fire Safety survey. CMS cites these findings under the Life Safety Code and Emergency Preparedness rules, a separate set from the health (F-tag) deficiencies. The codes and grading differ, so these do not link to the health violation pages.

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.

  • 0039GeneralS&S Cno actual harm

    Conduct testing and exercise requirements.

  • 0161GeneralS&S Fpotential for harm

    Use approved construction type or materials.

  • 0291GeneralS&S Epotential for harm

    Install emergency lighting that can last at least 1 1/2 hours.

  • 0324GeneralS&S Epotential for harm

    Provide properly protected cooking facilities.

  • 0341GeneralS&S Epotential for harm

    Install a fire alarm system that can be heard throughout the facility.

  • 0345GeneralS&S Fpotential for harm

    Have approved installation, maintenance and testing program for fire alarm systems.

  • 0347GeneralS&S Dpotential for harm

    Properly provide smoke detection systems in areas open to corridors.

  • 0351GeneralS&S Epotential for harm

    Install an approved automatic sprinkler system.

  • 0372GeneralS&S Epotential for harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  • 0511GeneralS&S Epotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0521GeneralS&S Fpotential for harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  • 0918GeneralS&S Fpotential for harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0920GeneralS&S Epotential for harm

    Ensure proper usage of power strips and extension cords.

FAQ · About this visit

Common questions about this visit

What happened during the February 20, 2020 survey of WINDSOR HEALTH CARE CENTER?

This was a inspection survey of WINDSOR HEALTH CARE CENTER on February 20, 2020. The surveyor cited 13 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at WINDSOR HEALTH CARE CENTER on February 20, 2020?

Yes, 13 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Conduct testing and exercise requirements."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.