Inspectors cited the facility on November 19, 2025, under the federal deficiency tag that governs care planning.
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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.
For four consecutive months, June through September 2025, the facility's designated Infection Preventionist maintained no infection control logs.
Level D is where the federal rating system begins to take violations seriously.
The citation, issued November 18, 2025, fell under F0842, the federal tag covering medical record accuracy and completeness.