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Health Inspection

Windsor Grove Health And Rehabilitation

May 1, 2025 · Windsor, VA · 23352 Courthouse Highway
Citations 2
CMS Rating 1/5
Beds 114
Provider ID 495347
Healthcare Facility
Windsor Grove Health And Rehabilitation
Windsor, VA  ·  View full profile →
Inspection Summary

Windsor Grove Health and Rehabilitation in WINDSOR, VA — inspection on May 1, 2025.

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.

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Inspection Findings

FF657
Minimal harm or her license at risk. LPN 1 stated I can't be on one hall because I couldn't see the other hall.

During an interview on 05/01/25 at 4:34 PM, LPN 1 stated the scheduler would frequently ask her to be responsible for both the Peach Unit and Blue Unit.

She stated she would never do that because it would put

potential for actual harm 5.

The facility failed to ensure residents received adequate supervision.

Cross Reference

During an interview on 05/01/25 at 5:24 PM, the Administrator stated they had six open CNA positions, seven open LPN positions, and seven open Registered Nurse (RN) positions.

The Administrator stated they did not have a Staffing Policy.

495347

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 495347 B.

Wing 05/01/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Consulate Health Care of Windsor 23352 Courthouse Highway Windsor, VA 23487

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 WINDSOR, VA, (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 Grove Health and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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