Windsor Woods Rehab and Healthcare CenterCMS ratings, inspections and fines
- Address
- 13719 Dallas Dr, Hudson, FL 34667
- CCN
- 105568
- Ownership type
- Non-profit, other
- Certified beds
- 103
- Residents per day
- 99
- CMS flags
- No standard survey in more than 2 years
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 Windsor Woods Rehab and Healthcare Center an overall rating of 3 of 5 stars. The last standard survey was on 6 Jun 2024. The latest survey cycle has 6 health citations. The median for nursing homes in Florida is 6. 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.
| Rating (1 to 5 stars) | This home | Pasco County median | Florida median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 18 homes in the county, 694 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.
| Survey cycle | Standard survey | Citations | Florida median |
|---|---|---|---|
| Cycle 1 (latest) | 6 Jun 2024 | 6 | 6 |
| Cycle 2 | 4 Aug 2022 | 10 | 6 |
| Cycle 3 | No date | 0 | 5 |
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.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 6 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 6 Jul 2024 |
| 6 Jun 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 6 Jul 2024 |
| 6 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 6 Jul 2024 |
| 6 Jun 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 6 Jul 2024 |
| 6 Jun 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 6 Jul 2024 |
| 6 Jun 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 6 Jul 2024 |
Survey cycle 2: 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 24 May 2025 |
| 24 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 24 May 2025 |
| 24 Apr 2025 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Complaint investigation | 24 May 2025 |
| 4 Aug 2022 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 4 Sep 2022 |
| 4 Aug 2022 | F0584 | Honor 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. | D | Standard survey | 4 Sep 2022 |
| 4 Aug 2022 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 27 Aug 2022 |
| 4 Aug 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 28 Aug 2022 |
| 4 Aug 2022 | F0761 | Ensure 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. | E | Standard survey | 27 Aug 2022 |
| 4 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Aug 2022 |
| 4 Aug 2022 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 27 Aug 2022 |
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.
| Staff | This home | Florida median | Florida average (CMS) |
|---|---|---|---|
| All nurse staff | 3.24 | 3.60 | 3.82 |
| Registered nurses (RN) | 0.42 | 0.60 | 0.73 |
| Licensed practical nurses (LPN) | 0.80 | 0.78 | |
| Nurse aides | 2.02 | 2.31 | |
| All nurse staff, weekends | 3.10 | 3.30 | 3.49 |
- Nurse staff turnover in a year
- 26.8%
- Nurse staff turnover, Florida median
- 41.8%
- RN turnover in a year
- 50.0%
- Administrators who left in a year
- 1
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.
| Measure (CMS text) | Residents | This home | Florida median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.5% | 7.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.1% | 2.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.8% | 7.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.4% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.6% | 7.0% | 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
- Non-profit, other
- Legal business name
- Fi-Windsor Woods, LLC
- Chain
- Florida Institute for Long-Term Care (17 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fi-Windsor Woods, LLC | 5% or greater direct ownership interest | 100% | 13 May 2003 |
| Florida Institute for Long Term Care LLC | 5% or greater indirect ownership interest | 100% | 23 Dec 2002 |
| Omega Healthcare Investors, Inc | 5% or greater security interest | 1 Jul 2003 | |
| Consulting Support Services, LLC | Operational/managerial control | 28 Jun 2011 | |
| Eleus Health Management LLC | Operational/managerial control | 1 Sep 2009 | |
| Facility Support Company, LLC | Operational/managerial control | 13 Dec 2010 | |
| Kane Financial Services, LLC | Operational/managerial control | 6 Jun 2012 | |
| Consulting Support Services, LLC | Adp of the snf | 18 Apr 2025 | |
| Eleus Health Management LLC | Adp of the snf | 18 Apr 2025 | |
| Facility Support Company, LLC | Adp of the snf | 24 Mar 2025 | |
| Florida Institute for Long Term Care LLC | Adp of the snf | 18 Apr 2025 | |
| Kane Financial Services, LLC | Adp of the snf | 24 Mar 2025 | |
| Omega Healthcare Investors, Inc | Adp of the snf | 1 Jul 2003 | |
| Select Rehabilitation, LLC | Adp of the snf | 19 Aug 2016 |
The site shows organisations only. It does not show the names of persons.
Other homes in Pasco County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Bayonet Point Health Center by Harborview | Hudson | 3 of 5 | 4 | $0 | 15 Aug 2024 | |
| Solaris Healthcare Bayonet Point | Hudson | 3 of 5 | 9 | $90,650 | 26 Sep 2025 | |
| Bear Creek Nursing Center | Hudson | 2 of 5 | 6 | $34,053 | 14 Mar 2024 | |
| Heather Hill Healthcare Center | New Port Richey | 2 of 5 | 10 | $0 | 6 Jun 2024 | |
| Madison Pointe Care Center | New Port Richey | 3 of 5 | 11 | $33,413 | 18 Apr 2024 | |
| Nursing & Rehabilitation Center of New Port Richey | New Port Richey | 1 of 5 | 13 | $0 | 5 Dec 2024 | |
| Southern Pines Nursing Center | New Port Richey | 2 of 5 | 11 | $0 | 19 Oct 2023 | |
| Aspire at Ridge Haven | New Port Richey | 3 of 5 | 8 | $0 | 11 Jan 2024 | |
| Life Care Center of New Port Richey | New Port Richey | 4 of 5 | 10 | $0 | 5 Mar 2025 | |
| Trinity Regional Rehab Center | Trinity | 1 of 5 | 10 | $26,685 | 21 Nov 2024 | |
| Baldomero Lopez Memorial Veterans Nursing Home | Land O Lakes | 5 of 5 | 3 | $0 | 25 Jan 2024 | |
| Blue Heron Health and Rehabilitation | Wesley Chapel | 4 of 5 | 5 | $0 | 31 Jul 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Windsor Woods Rehab and Healthcare Center (CCN 105568). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/windsor-woods-rehab-and-healthcare-center-hudson-fl-105568/
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 Windsor Woods Rehab and Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 24 Apr 2025. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 4 Aug 2022. CMS marks the last health inspection of this home as more than 2 years old.
- Who operates Windsor Woods Rehab and Healthcare Center?
- The CMS record gives the ownership type as non-profit, other. CMS lists the home in the chain Florida Institute for Long-Term Care. The CMS ownership file names 4 organisations for operational or managerial control. This site does not show the names of persons.
- Is Windsor Woods Rehab and Healthcare Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Florida as Special Focus Facilities and 15 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.