Windsor Arbor View

In the surveyor’s words

From the most serious findings on record at Windsor Arbor View, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 11, 2025

  Based on observation, interview and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible and each resident received adequate supervision to prevent accidents for 1 of 3 residents (Resident 21) reviewed for accidents and supervision, in that:The facility failed to ensure Resident #2 received adequate supervision to prevent him from exiting the facility undetected on 06/06/25.The non-compliance was identified as Past Non-Compliance. The Immediate Jeopardy (IJ) began on 06/06/25 and ended on 06/07/2025. The facility corrected the non-compliance before the investigation began.Past Non-Compliance form sent to Administrator on 09/11/25 at 11:49 am.This failure could place the residents at risk for injury or death. […]

• No harm, potential for more than minimal, patternF584Dec 17, 2025

  Based on observation, interview, and record review, the facility failed to provide a safe, clean, comfortable, and homelike environment for 3 residents out of 8 (Resident #77, Resident #50, Resident #26) that were reviewed for safe environment. The facility failed to ensure bathroom sink water temperatures were between 100-110 degrees Fahrenheit in occupied rooms for Resident #77, Resident #50 and Resident #26. These failures could affect residents by placing them at risk for diminished quality of life due to the lack of a well-kept environment and water temperatures over 110 degrees Fahrenheit, placing residents at risk of being in an unsafe environment and at risk for burn injuries. The Findings Included: 1. […]

• No harm, potential for more than minimal, patternF880Dec 17, 2025

  Based on observation, interview, and record review, the facility failed to establish an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 of 16 residents (Resident #29, Resident #117, and Resident #9) observed for infection control issues in that: 1. LVN H did not put on PPE when she entered Resident #29's room who was on contact precautions. 2. The facility failed to ensure Resident #117's breathing mask for his nebulizer (a medical device that turns liquid medicine into mist that could be inhaled through a face mask) was properly stored when not in use on 12/15/2025. 3. […]

• No harm, potential for more than minimal, patternF812Sep 25, 2024

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the facility's only kitchen reviewed for storage, preparation and sanitation. The facility failed to ensure that food/ drink items in the reach- in freezer, refrigerator, and dry storage area were properly stored, labeled, and dated and were not expired. These failures could place residents at risk for food contamination. Findings included: During observation and interview on initial tour with Dietary Aide on [DATE] at 11:15 AM, Revealed two out of six milk jugs in the refrigerator were open and used and did not have an open date. […]

• No harm, potential for more than minimal, patternF656Mar 25, 2022

  Resident #50 FTag Initiation 03/25/22 11:52 AM Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan that includes measurable objectives and timeframes to meet a resident's medical and nursing needs for 3 (Resident#73, Resident # 4, Resident 50) out of 22 residents reviewed for person-centered care plans in that: 1)Resident #73's comprehensive care plans did not address the resident's amputation of right foot and use of a wound vac for wound treatment. […]