Deficiency timeline
Windsor Grove Health and Rehabilitation
Dated inspection findings, penalties, and correction notes for this nursing home in Windsor, VA. Newest events first.
- Class IIIPotential for more than minimal harm (F)cms
F0725: Nursing and Physician Services
Nursing & physician services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0730: Nursing and Physician Services
Nursing & physician services
Observe each nurse aide's job performance and give regular training.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0760: Pharmacy Service
Pharmacy services
Ensure that residents are free from significant medication errors.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0678: Quality of Life and Care
Quality of life & care
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0685: Quality of Life and Care
Quality of life & care
Assist a resident in gaining access to vision and hearing services.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0687: Quality of Life and Care
Quality of life & care
Provide appropriate foot care.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0692: Quality of Life and Care
Quality of life & care
Provide enough food/fluids to maintain a resident's health.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
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.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0925: Environmental
Environment
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected Jun 26, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0919: Environmental
Environment
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected Jan 4, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0925: Environmental
Environment
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected Jan 4, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0584: Resident Rights
Resident rights
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.
Corrected Jan 4, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0691: Quality of Life and Care
Quality of life & care
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected Jan 4, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0692: Quality of Life and Care
Quality of life & care
Provide enough food/fluids to maintain a resident's health.
Corrected Jan 4, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0550: Resident Rights
Resident rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 7, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0567: Resident Rights
Resident rights
Honor the resident's right to manage his or her financial affairs.
Corrected May 7, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0574: Resident Rights
Resident rights
The resident has the right to receive notices in a format and a language he or she understands.
Corrected May 7, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0602: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected May 7, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0622: Resident Rights
Resident rights
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected May 7, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0623: Resident Rights
Resident rights
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 7, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0625: Resident Rights
Resident rights
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.
Corrected May 7, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected May 7, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jul 26, 2020
- Class IIIPotential for more than minimal harm (D)cms
F0690: Quality of Life and Care
Quality of life & care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 7, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0758: Pharmacy Service
Pharmacy services
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected May 7, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
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.
Corrected May 7, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0773: Administration
Administration
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected May 7, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0775: Administration
Administration
Keep complete, dated laboratory records in the resident's record.
Corrected May 7, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0881: Infection Control
Infection control
Implement a program that monitors antibiotic use.
Corrected May 7, 2021
- Class IIIPotential for more than minimal harm (E)cms
F0561: Resident Rights
Resident rights
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (E)cms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (E)cms
F0622: Resident Rights
Resident rights
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (E)cms
F0625: Resident Rights
Resident rights
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.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (E)cms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (E)cms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0582: Resident Rights
Resident rights
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected Feb 26, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0583: Resident Rights
Resident rights
Keep residents' personal and medical records private and confidential.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0584: Resident Rights
Resident rights
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.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0600: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0607: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0692: Quality of Life and Care
Quality of life & care
Provide enough food/fluids to maintain a resident's health.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0727: Nursing and Physician Services
Nursing & physician services
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0755: Pharmacy Service
Pharmacy services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0760: Pharmacy Service
Pharmacy services
Ensure that residents are free from significant medication errors.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
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.
Corrected Aug 6, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Aug 6, 2019
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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile