During the incident itself, the licensed nurse on duty, identified as LN G, did not separate the nursing assistant from the resident.
Nursing Home News — Page 391
All Stories
That acknowledgment came during a complaint inspection on November 18, 2025.
The inspection was conducted November 18, 2025, in response to a complaint.
Inspectors cited the facility on November 19, 2025, under the federal deficiency tag that governs care planning.
An infectious disease doctor and a general surgeon were both consulted.
The November 20 inspection found that Windsor was not properly providing and implementing its infection prevention and control program.
The resident, identified in inspection records as R66, had been placed on Enhanced Barrier Precautions since August.
That detail, buried in inspection records, is the one that matters most.
The resident did eventually get the money back.
Inspectors rated the violation at scope and severity level D, meaning it was isolated and caused no documented actual harm.
That failure, confirmed by the facility's own administrator, is at the center of a federal complaint inspection completed in November 2025.
The deficiency was classified as a pattern, meaning it wasn't a one-time lapse.