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Windemere Park Health and Rehabilitation CenterCMS ratings, inspections and fines

Address
31800 Van Dyke Avenue, Warren, MI 48093
CCN
235714
Ownership type
For-profit, individual
Certified beds
92
Chain
None in the CMS record
Residents per day
57
CMS flags
None in the CMS record
CMS star ratings
Overall rating4 of 5
Health inspection rating4 of 5
Staffing rating3 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Windemere Park Health and Rehabilitation Center an overall rating of 4 of 5 stars. The last standard survey was on 30 Apr 2025. The latest survey cycle has 6 health citations. The median for nursing homes in Michigan is 8. CMS lists no fines for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Windemere Park Health and Rehabilitation Center, with medians
Rating (1 to 5 stars)This homeMacomb County medianMichigan medianUS average (CMS)
Overall rating44.03.03.0
Health inspection rating43.03.02.8
Staffing rating33.04.02.9
Quality measure rating44.04.03.6

A median is the middle value of the homes in the group: 30 homes in the county, 422 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Windemere Park Health and Rehabilitation Center in the last three survey cycles
Survey cycleStandard surveyCitationsMichigan median
Cycle 1 (latest)30 Apr 202568
Cycle 24 Apr 202479
Cycle 3No date1210

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 25 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 6 citations

Standard survey of this cycle: .

Health citations of Windemere Park Health and Rehabilitation Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
11 Jun 2026F0583Keep residents' personal and medical records private and confidential.DComplaint investigation13 Jul 2026
7 Apr 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation30 Apr 2026
18 Feb 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation10 Mar 2026
30 Apr 2025F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard survey28 May 2025
30 Apr 2025F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.FStandard survey28 May 2025
30 Apr 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey28 May 2025

Survey cycle 2: 7 citations

Standard survey of this cycle: .

Health citations of Windemere Park Health and Rehabilitation Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
1 Oct 2024F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation25 Oct 2024
1 Oct 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation25 Oct 2024
4 Apr 2024F0584Honor 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.DComplaint investigation15 May 2024
4 Apr 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EComplaint investigation15 May 2024
4 Apr 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation15 May 2024
4 Apr 2024F0880Provide and implement an infection prevention and control program.FStandard survey15 May 2024
4 Apr 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation15 May 2024

Survey cycle 3: 12 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Windemere Park Health and Rehabilitation Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
16 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation8 Aug 2024
11 Jan 2023F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey20 Feb 2023
11 Jan 2023F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard survey20 Feb 2023
11 Jan 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey20 Feb 2023
11 Jan 2023F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey20 Feb 2023
11 Jan 2023F0759Ensure medication error rates are not 5 percent or greater.DStandard survey20 Feb 2023
11 Jan 2023F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.FStandard survey20 Feb 2023
11 Jan 2023F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FStandard survey20 Feb 2023
11 Jan 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey20 Feb 2023
11 Jan 2023F0865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard survey20 Feb 2023
11 Jan 2023F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey20 Feb 2023
11 Jan 2023F0880Provide and implement an infection prevention and control program.FStandard survey20 Feb 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

CMS lists no fine and no payment denial for this home in its penalties file.

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Windemere Park Health and Rehabilitation Center
StaffThis homeMichigan medianMichigan average (CMS)
All nurse staff3.803.803.99
Registered nurses (RN)0.480.700.78
Licensed practical nurses (LPN)1.450.88
Nurse aides1.872.33
All nurse staff, weekends3.393.303.50
Nurse staff turnover in a year
67.9%
Nurse staff turnover, Michigan median
44.6%
RN turnover in a year
60.0%
Administrators who left in a year
0

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Windemere Park Health and Rehabilitation Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeMichigan medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay20.9%9.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.4%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.8%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.3%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay34.4%10.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.6%4.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay22.4%13.5%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, individual
Setting
Continuing care retirement community
Organisations in the CMS ownership record of Windemere Park Health and Rehabilitation Center
OrganisationRole in the CMS recordInterestSince
Windemere Group LLC5% or greater direct ownership interest100%16 May 2011

The site shows organisations only. It does not show the names of persons.

Other homes in Macomb County

The 12 nearest other nursing homes in Macomb County, Michigan
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Autumn Woods Residential HealthWarren2 of 516$013 Aug 2025
St. Anthony Healthcare CenterWarren4 of 55$011 Jun 2025
The Orchards at WarrenWarren1 of 514$03 Dec 2025
Harmony Village of WarrenWarren2 of 511$103,2747 May 2025
The Villa at City CenterWarren4 of 56$8,45412 Mar 2026
Medilodge of Sterling HeightsSterling Heights2 of 57$014 Apr 2026
Pomeroy Living Sterling Skilled RehabilitationSterling Heights4 of 54$014 May 2025
Father Murray, A Villa CenterCenter Line2 of 514$09 Apr 2025
Optalis Health and Rehabilitation of Sterling HeigSterling Heights3 of 515$4,23325 Jun 2025
Fraser VillaFraser5 of 53$019 Mar 2026
Harmony Village of ClintonClinton Township2 of 513$04 Jun 2025
The Orchards at RosevilleRoseville1 of 515$030 Apr 2025

All 30 nursing homes in Macomb County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Windemere Park Health and Rehabilitation Center (CCN 235714). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/windemere-park-health-and-rehabilitation-center-warren-mi-235714/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Windemere Park Health and Rehabilitation Center last inspected?
The latest inspection with a citation in the CMS record was on 11 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 4 Apr 2024.
Who operates Windemere Park Health and Rehabilitation Center?
The CMS record gives the ownership type as for-profit, individual. CMS lists no chain for the home. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
Is Windemere Park Health and Rehabilitation Center a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Michigan as Special Focus Facilities and 10 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.