Windsor Health and Rehabilitation Center
Starke, Florida · CCN 105696
21 surveys since 2011. The first finding at harm level was recorded in 2022.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 77
- Surveys
- 21
- Harm or worse
- 3
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- For profit - Limited Liability company
- Chain
- SIMCHA HYMAN & NAFTALI ZANZIPER
- County
- Bradford · rural
- Medicare-certified since
- 1990
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 4
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 293 for-profit facilities of 100–127 beds in Florida.
Last survey on record
Dec 30, 2025
314 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.02 | 3.57 |
| Registered-nurse hours per resident day | 0.42 | — |
| Annual nurse turnover | 42.7% | 44.5% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1588.2% | E211.8% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6953×
Provide safe and appropriate respiratory care for a resident when needed.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F8802×
Provide and implement an infection prevention and control program.
- F5801×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F5841×
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.
In the surveyor’s words
From the most serious findings on record at Windsor Health and Rehabilitation Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF607Apr 8, 2022
Based on record review and interview, the facility failed to implement policies and procedures for the verification of identification, licensure and background screenings for all agency nursing staff prior to having access to the residents, allowing an unlicensed agency staff person to work as a Licensed Practical Nurse providing nursing care and services to 52 residents, including Residents #4, #5, and #6, during two work shifts for the period from [DATE] through [DATE]. Findings include: Review of an invoice generated by the nurse staffing agency dated [DATE] revealed that Staff A, Unlicensed Agency Staff, had worked in the facility from 7:00 PM on [DATE] through 7:30 AM on [DATE] and from 7:00 PM on [DATE] through 7:30 AM on [DATE]. […]
- Immediate jeopardy, isolatedF835Apr 8, 2022
Based on record review and interview, the facility administration failed to effectively and efficiently attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident by not assuming full responsibility for the day to day operations of the facility by not verifying identification, licensure and level II background screening for agency nursing staff prior to granting access to the residents, allowing an unlicensed agency staff person to work as a Licensed Practical Nurse providing nursing care and services to 52 residents including Residents #4, #5, and #6, during two work shifts for the period from [DATE] through [DATE]. […]
- Immediate jeopardy, isolatedF839Apr 8, 2022
Based on record review and interview, the facility failed to ensure nursing staff employed at the facility were licensed in accordance with applicable State laws by not verifying the licensure and level II background screening for agency nursing staff prior to granting access to the residents, allowing an unlicensed agency staff person to work as a Licensed Practical Nurse providing nursing care and services to 52 residents including Residents #4, #5, and #6, during two work shifts for the period from [DATE] through [DATE]. Findings include: Review of an invoice generated by the nurse staffing agency dated [DATE] revealed the Staff A, Unlicensed Agency Staff, had worked in the facility from 7:00 PM on [DATE] through 7:30 AM on [DATE] and from 7:00 PM on [DATE] through 7:30 AM on [DATE]. […]
- No harm, potential for more than minimal, widespreadF761Feb 11, 2021
Based on observation, interview, and record review, the facility failed to ensure all drugs and biologicals used in the facility were stored and labeled in accordance with current professional standards in 4 of 4 medication carts reviewed for medication storage and labeling. Findings: An observation of Medication Cart #1 on 2/8/2021 at 9:30 AM with Staff A, Registered Nurse (RN), showed one bottle of [MEDICATION NAME] B eye drops with no opened dates or expiration dates for Resident #57; two opened bottles of artificial tears with no opened or expiration dates for Resident #19; two bottles of Refresh Tears eye drops with no opened dates or expiration dates for Resident #70; and two vials of [MEDICATION NAME] solution with no original pharmacy packaging and no resident identifiers. […]
- No harm, potential for more than minimal, patternF761Aug 28, 2026
Based on observation, interview, and record review, the facility failed to secure medications when unattended for 3 of 5 hall rooms observed. Findings include: 1) During an observation on 8/24/2026 at 10:25 AM of Resident #117's room on the bedside table there was an unattended tube of clotrimazole cream 1% (an antifungal cream used to treat skin infections). During an observation on 8/25/2026 at 1:18 PM of Resident #117's room there was an unattended tube of clotrimazole cream 1% on the bedside table. 2) During an observation on 8/24/2026 at 10:50 AM of Resident #6's room there was one unattended vial of ipratropium bromide and albuterol sulfate 0.5mg (milligram)/ 3 mg per 3 ml (milliliters) solution (relaxes and opens the air passages) on the bedside table. […]
Read 23 findings in full →The most serious and the most recent: 23 of 77 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 28, 2026Standard6 findings
- Dec 30, 2025Complaint1 finding
- Apr 17, 2025Standard2 findings
- Oct 3, 2024Complaint1 finding
- Feb 1, 2024Standard8 findings
- Aug 11, 2022Standard5 findings
- Apr 8, 2022Complaint3 findings · 3 harm
- Feb 11, 2021Standard8 findings
Show the 13 earlier surveys
- Mar 3, 2020Complaint1 finding
- Jul 18, 2019Standard4 findings
- Oct 3, 2018Complaint1 finding
- Apr 12, 2018Standard8 findings
- Dec 28, 2017Complaint5 findings
- May 18, 2017Standard4 findings
- Apr 14, 2016Standard5 findings
- Oct 9, 2015Complaint1 finding
- Mar 5, 2015Standard4 findings
- Feb 20, 2014—3 findings
- Oct 25, 2012—1 finding
- Oct 14, 2011—1 finding
- Jul 21, 2011—5 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
- Anchor Care & Rehabilitation CenterPalm Bay5 harm findings
- Northbrook Center for Rehabilitation and HealingBrooksville2 harm findings
- Boca Circle Rehabilitation CenterBoca Raton1 harm finding
- Grove Healthcare and Rehabilitation Center and RehHernando3 harm findings
- Aviata at University HillsPensacola6 harm findings
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