CareSentinel

Federal Nursing-Home Survey Record

WINDSOR HOUSE

CCN 015397 · 4411 MCALLISTER DRIVE, HUNTSVILLE, AL, 35805 · Operated within the DIVERSICARE HEALTHCARE chain

Does WINDSOR HOUSE have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), WINDSOR HOUSE (CCN 015397), in HUNTSVILLE, AL, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 11 deficiencies; the most serious carries scope/severity G on CMS's A–L scale, a level CMS classifies as actual harm. The most recent federal survey on file is dated 2021-05-29. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $266,231 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

At its most recent federal inspection, CMS cited this facility for 2 actual-harm deficiencies.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$266,231

CMS has $266,231 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 1  ·  CMS state average: 3.0

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2023-09-20
HISTORICAL
F607S/S J

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2023-09-20
HISTORICAL
F600S/S J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2023-09-20
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-09-20
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2023-09-20
HISTORICAL
F740S/S D

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

2023-08-24
HISTORICAL
F584S/S E

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.

2023-08-24
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2023-08-24
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2023-08-24
HISTORICAL
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2021-05-29
CURRENT CYCLE
F580S/S G

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2021-05-29
CURRENT CYCLE
F692S/S G

Provide enough food/fluids to maintain a resident's health.

2021-05-29
CURRENT CYCLE
F625S/S F

Notify 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.

2021-05-29
CURRENT CYCLE
F842S/S E

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2021-05-29
CURRENT CYCLE
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2021-05-29
CURRENT CYCLE
F584S/S D

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.

2021-05-29
CURRENT CYCLE
F761S/S D

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.

2021-05-29
CURRENT CYCLE
F790S/S D

Provide routine and 24-hour emergency dental care for each resident.

2021-05-29
CURRENT CYCLE
F686S/S D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2021-05-29
CURRENT CYCLE
F641S/S D

Ensure each resident receives an accurate assessment.

2021-05-29
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2019-03-07
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2018-04-05
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2018-04-05
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2018-04-05
HISTORICAL
F553S/S D

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at WINDSOR HOUSE?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…