Windsor Woods Rehab and Healthcare Center
13719 Dallas Dr, Hudson, FL 34667
Windsor Woods Rehab and Healthcare Center is a nursing home in Hudson, Florida. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating3 of 5
- Last standard health inspectionJune 6, 2024 (2 years ago)
- Health citations since August 4, 202216 (Florida average 20)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Health inspection on April 24, 2025
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0842. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on May 24, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on May 24, 2025.
Citation F0849. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on May 24, 2025.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on June 6, 2024
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on July 6, 2024.
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on July 6, 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on July 6, 2024.
Citation F0699. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care or services that was trauma informed and/or culturally competent.
CMS lists it as corrected on July 6, 2024.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on July 6, 2024.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on July 6, 2024.
Health inspection on August 4, 2022
7 citationsCMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
15 of 694 Florida homes (2%) got a citation at the actual harm level in 2022.
Show the 7 citations
Citation F0692. Severity G: actual harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on August 28, 2022.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on August 27, 2022.
Citation F0908. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep all essential equipment working safely.
CMS lists it as corrected on August 27, 2022.
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on September 4, 2022.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on September 4, 2022.
Citation F0679. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide activities to meet all resident's needs.
CMS lists it as corrected on August 27, 2022.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 27, 2022.
Fire safety inspection on August 4, 2022
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0200. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on August 27, 2022.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on August 27, 2022.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on August 27, 2022.
Fire safety inspection on March 26, 2021
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on April 26, 2021.
CMS star ratings
- 3 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (727) 862-6795
- Last standard health inspection
- June 6, 2024 (2 years ago)
- Certified beds
- 103
- Residents per day, on average
- 99.3
- Ownership type
- Non profit - Other
- Legal business name
- Fi-Windsor Woods, LLC
- Chain
- Florida Institute for Long-Term Care
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Florida average (16 vs 20).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- FI-WINDSOR WOODS, LLC5% or greater direct ownership interest · 100% · since 05/13/2003
- FLORIDA INSTITUTE FOR LONG TERM CARE LLC5% or greater indirect ownership interest · 100% · since 12/23/2002
- CONSULTING SUPPORT SERVICES, LLCOperational/managerial control · not applicable · since 06/28/2011
- ELEUS HEALTH MANAGEMENT LLCOperational/managerial control · not applicable · since 09/01/2009
- FACILITY SUPPORT COMPANY, LLCOperational/managerial control · not applicable · since 12/13/2010
Show 3 more
- KANE FINANCIAL SERVICES, LLCOperational/managerial control · not applicable · since 06/06/2012
- CROUCHER, STEPHANIEOperational/managerial control · not applicable · since 11/15/2020
- VANBELKUM, DONNAOperational/managerial control · not applicable · since 08/16/2019
Questions
When was Windsor Woods Rehab and Healthcare Center last inspected?
CMS lists June 6, 2024 as the date of its most recent standard health inspection.
How many citations (violations) does Windsor Woods Rehab and Healthcare Center have?
CMS lists 16 health citations since August 4, 2022. CMS also calls these deficiencies.
Has Windsor Woods Rehab and Healthcare Center been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Windsor Woods Rehab and Healthcare Center?
Its CMS overall star rating is 3 of 5.
Is Windsor Woods Rehab and Healthcare Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.