Canfield Acres LLC Dba Windsor House at Canfield

In the surveyor’s words

From the most serious findings on record at Canfield Acres LLC Dba Windsor House at Canfield, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF679Apr 6, 2023

  Based on resident interviews, staff interviews, review of activity calendars, and review of activity policy, the facility failed to ensure group activities were offered and provided per the resident's preferences and the activity calendar. This finding had the potential to affect 28 residents who participate in group activities including Residents #1, #2, #4, #5, #8, #12, #15, #16, #17, #22, #23, #25, #28, #30, #32, #34, #35, #36, #39, #42, #43, #48, #50, #56, #62, #121, #278, and #281. The facility census was 65. Findings include: On 04/05/23 2:03 P.M. during the Resident Council Meeting, Residents #16 and #56 stated they were unhappy that there were no activities on the weekends. […]

• No harm, potential for more than minimal, isolatedF693Aug 19, 2026

  Based on record review, observations, staff interviews, and facility policy, the facility failed to ensure Resident #56's tube feeding water bag was replaced within the required 24 hour timeframe. This deficiency affected one resident (Resident #56) of three reviewed for tube feedings. The facility census was 72.Findings include:Review of the medical record for Resident #56 revealed an admission date of 02/05/26 with diagnoses including pressure ulcer of sacral region, Alzheimer's disease, dementia, Parkinson's disease, and dysphagia.Review of the care plan dated 06/29/26 revealed Resident #56 required tube feeding. […]

• No harm, potential for more than minimal, isolatedF880Aug 19, 2026

  Based on record review, observation, interviews, and facility policy review, the facility failed to ensure staff followed the physician's orders for Enhanced Barrier Precautions (EBP) while providing care to Resident #56. This affected one resident (Resident #56) of three reviewed for tube feedings. The facility census was 72.Findings include:Review of the medical record for Resident #56 revealed an admission date of 02/05/26 with diagnoses including pressure ulcer of sacral region, Alzheimer's disease, dementia, Parkinson's disease, and dysphagia.Review of the care plan dated 06/29/26 revealed Resident #56 required tube feeding. […]

• No harm, potential for more than minimal, isolatedF550Jan 8, 2026

  Based on observation, interview, record review and review of facility policy, the facility did not ensure Resident #32 was treated with respect and dignity when in need of assistance by staff. This affected one resident (#32) of one resident reviewed for assistance with activity of daily living. The facility census was 68. Findings include:Review of the medical record for Resident #32 revealed an admission date of 03/05/25 with diagnoses including contracture of an unspecified joint, muscle wasting and atrophy, lack of coordination, hypertension, difficulty in walking, and muscle weakness. […]

• No harm, potential for more than minimal, isolatedF567Jan 8, 2026

  Based on record review, interview and review of the facility policy, the facility failed to ensure authorizations for resident funds were witnessed as required. This affected one resident (#37) of five residents reviewed for resident funds. Facility census was 68.Review of Resident #37's medical record revealed an admission date of 02/16/24 and diagnoses including anemia, vitamin D deficiency, subclinical iodine-deficiency hypothyroidism, severe protein-calorie malnutrition and malignant neoplasm of rectum. Resident #37 was her own responsible party and per the quarterly Minimum Data Set (MDS) 3.0 assessment on 12/29/25, Resident #37 was cognitively intact. […]