Windsor Lane Healthcare Center
WINDSOR LANE HEALTHCARE CENTER in GIBSONBURG, OH — inspection on February 27, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
stuffed dog she considers real) and CNA #401 took the dog and threw it in front of Resident #3,
review of the written of AA #300's written statement revealed a few weeks ago AA#300 was at the
restroom. CNA #401 was assisting another resident. So CNA #400 told her they would help her soon.
Over the next hour, Resident #2 continued asking to use the restroom repeatedly. CNA #400, who was on her phone, kept telling her she had to wait. Resident #2 kept telling AA #300 over and over I'm going to poop my pants, I need to go to the bathroom now.On 12/07/25 CNA #400 wrote a statement regarding the allegation on 12/03/25 stating she has never denied any resident's request on brining them to the bathroom when they ask. If they happen to ask during a mealtime and the other aide on the floor is in a resident's room, she apologizes and lets the resident know she cannot leave the dining room unattended and tells them as soon as the other aide comes back she will take the resident to the bathroom. CNA #400 stated she has never told a resident to just go in your brief. As to the allegation of CNA #400 just sitting at the table, its because you can see everything especially the television area where there is also a door. CNA #400 stated they do have a resident that can not have anything by mouth and on occasion one of the residents likes to share snacks with this said resident.On 02/27/26 at 11:40 A.M. interview with the Director of Nursing (DON), Assistant Director of Nursing (ADON), and Human Resources Director #200 verified when Activity Assistant submitted written allegations no investigation was documented and the state agency was not notified of the allegations.Review of facility Abuse, Neglect, Exploitation and Misappropriation of Resident Property policy dated 2016.
All incident and allegations of Abuse, Neglect, Exploitation, Mistreatment of a resident, or misappropriation of resident property and all injuries of unknown source must be immediately reported to the administrator or designee.
The Administrator of his/her designee will notify the state survey agency of all alleged violations involving of Abuse, Neglect, Exploitation, Mistreatment of a resident, or misappropriation of resident property and all injuries of unknown source as soon as possible, but no later than twenty-four (24) hours from the time of the incident/allegation was made known to the staff member.This deficiency represents non-compliance investigated under Complaint Number 2715158.
365681 02/27/2026
Windsor Lane Healthcare Center 355 Windsor Lane Gibsonburg, OH 43431
Review of a progressive disciplinary action form dated 12/04/25 noted CNA #401 received a verbal warning.
Details revealed CNA #401 was on cell phone while in resident care areas.On 02/27/26 at 11:40 A.M. interview with the Director of Nursing (DON), Assistant Director of Nursing (ADON), and Human Resources Director #200 verified when Activity Assistant submitted written allegations no investigation was documented and the state agency was not notified of the allegations.Review of facility Abuse, Neglect, Exploitation and Misappropriation of Resident Property policy dated 2016.
All incident and allegations of Abuse, Neglect, Exploitation, Mistreatment of a resident, or misappropriation of resident property and all injuries of unknown source must be immediately reported to the administrator or designee.
The Administrator of his/her designee will notify the state survey agency of all alleged violations involving of Abuse, Neglect, Exploitation, Mistreatment of a resident, or misappropriation of resident property and all injuries of unknown source as soon as possible, but no later than twenty-four (24) hours from the time of the incident/allegation was made known to the staff member.
Once the administrator and state survey agency is notified, an investigation of the allegation violation will be conducted. If a staff member is accused or suspected of Abuse, Neglect, Exploitation, Mistreatment of a resident, or misappropriation of resident property.
The facility should immediately remove the staff member from the facility and the schedule pending the outcome of the investigation.
Documentation in then nurses notes should include results of the residents assessment, notification of the physician and resident representative, and any treatment provided.
The investigation must be completed within five (5) working days.
Investigation protocol included; Interview the resident, the accused, and all witnesses.
Witnesses generally include anyone who witnessed or heard the incident; came in close contact with the resident and/or the alleged victim the day of the incident.
Obtain a statement from the resident, if possible, the accused, and each witness.
Review the residents records.
Evidence of the investigation should be documented.
This deficiency represents non-compliance investigated under Complaint Number 2715158.