C79

WINDSOR WOODS REHAB AND HEALTHCARE CENTER

Grade C 79/100 composite score

Non profit - Other

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
3/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

103

Ownership

Non profit - Other

Total Fines

None

Last Survey

N/A

13719 DALLAS DR, HUDSON, FL 34667
7278626795

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.56h
LPN
0.78h
CNA
2.20h
Total
3.54h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

FI-WINDSOR WOODS, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince May 2003

100%

FLORIDA INSTITUTE FOR LONG TERM CARE LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2002

100%

CONSULTING SUPPORT SERVICES, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jun 2011

ELEUS HEALTH MANAGEMENT LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Sep 2009

FACILITY SUPPORT COMPANY, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2010

KANE FINANCIAL SERVICES, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jun 2012

CROUCHER, STEPHANIE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2020

VANBELKUM, DONNA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2019

JAFFE, HOWARD

IndividualCORPORATE OFFICERSince Jul 2014

KATZ-HALL, KATHY

IndividualCORPORATE OFFICERSince Jul 2014

MULLARKEY, JAMES

IndividualCORPORATE OFFICERSince Jul 2014

RICHMOND, PENNY

IndividualCORPORATE OFFICERSince Jul 2014

OMEGA HEALTHCARE INVESTORS, INC

Organization5% OR GREATER SECURITY INTERESTSince Jul 2003

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (16)

April 24, 2025Health3 deficiencies
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected May 24, 2025
0842EMinimal harm, Pattern

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected May 24, 2025
0849DMinimal harm, Isolated

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.

Administration Deficiencies

Corrected May 24, 2025
June 6, 2024Health6 deficiencies
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Jul 6, 2024
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Jul 6, 2024
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jul 6, 2024
0699DMinimal harm, Isolated

Provide care or services that was trauma informed and/or culturally competent.

Quality of Life and Care Deficiencies

Corrected Jul 6, 2024
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jul 6, 2024
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jul 6, 2024
August 4, 2022Health7 deficiencies1 severe
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Sep 4, 2022
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Sep 4, 2022
0679DMinimal harm, Isolated

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Aug 27, 2022
0692GActual harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Aug 28, 2022
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Aug 27, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 27, 2022
0908EMinimal harm, Pattern

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Aug 27, 2022

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Frequently Asked Questions

What is the CareGrader rating for WINDSOR WOODS REHAB AND HEALTHCARE CENTER?

WINDSOR WOODS REHAB AND HEALTHCARE CENTER in HUDSON, Florida has a CareGrader grade of C (Average), with a composite score of 78.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for WINDSOR WOODS REHAB AND HEALTHCARE CENTER?

WINDSOR WOODS REHAB AND HEALTHCARE CENTER has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does WINDSOR WOODS REHAB AND HEALTHCARE CENTER have?

WINDSOR WOODS REHAB AND HEALTHCARE CENTER has 16 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does WINDSOR WOODS REHAB AND HEALTHCARE CENTER have?

WINDSOR WOODS REHAB AND HEALTHCARE CENTER has 103 certified beds with approximately 99 current residents (96% occupancy). The facility is located at 13719 DALLAS DR, HUDSON, Florida 34667. It is a non profit - other facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.