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Complaint Investigation

Windsor Health And Rehabilitation Center

Inspection Date: December 30, 2025
Total Violations 1
Facility ID 105696
Location STARKE, FL
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Inspection Findings

F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on

observations and interviews, the facility failed to repair or replace broken floor tiles in 3 of 6 residents' rooms reviewed for a safe, comfortable and homelike environment.Findings Included During an observation

on 12/30/2025 at 9:25 AM in room [ROOM NUMBER], there were four cracked floor tiles with brown discoloration adjacent to the doorway on the interior of the room, with one of the tiles raised slightly above

the floor level. (Photographic evidence obtained). During an observation on 12/30/2025 at 9:38 AM in room [ROOM NUMBER], one cracked floor tile was observed adjacent to the doorway in the interior of the room (Photographic evidence obtained). During an observation on 12/30/2025 at 9:42 AM in room [ROOM NUMBER], there were four broken floor tiles adjacent to the interior doorway of the room, with two chipped sections, and extensive cracking to the outer edges of the tiles. (Photographic evidence obtained). During

an interview on 12/30/2025 at 4:30 PM the Maintenance Director stated, I complete a monthly patient room inspection. Due to the fact the facility is over [AGE] years old, it is difficult to find a vendor that has these specific tiles in stock, however, I think I have a few tiles left to fix the floors. During an interview on 12/30/2025 at 6:05 PM, with the Administrator, the photographic evidence was reviewed. The Administrator acknowledged the tiles were in disrepair.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

WINDSOR HEALTH AND REHABILITATION CENTER in STARKE, FL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in STARKE, FL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from WINDSOR HEALTH AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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