Windsor Nursing and Rehabilitation Center of Edinb

In the surveyor’s words

From the most serious findings on record at Windsor Nursing and Rehabilitation Center of Edinb, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Aug 28, 2025

  Based on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed on 08/26/2025 to ensure foods were properly labeled and dated.2. The facility failed on 08/26/2025 to ensure the cook's hands were washed and gloves were worn during food preparation. These failures placed all residents who ate food served by the kitchen at risk of cross contamination and food-borne illness. […]

• No harm, potential for more than minimal, patternF842Aug 28, 2025

  Based on record review and interview, the facility failed to maintain medical records on each resident that are accurately documented for 3 of 5 residents (Resident #51 and Resident # 34 and Resident # 10) reviewed for medical records. 1. Facility failed on 8/26/2025 to ensure physician orders were written for IV (intravenous) access and maintenance of IV site for Resident # 34. 2. Facility failed on 08/26/2025 to ensure physician orders were written for IV (intravenous) access and maintenance of IV site for Resident #10. On 09/08/25, record review of August's order summary revealed resident obtained an order for IV hydration, thus revealing resident already had an IV lock in place. No orders were found to indicate the date, time and location the IV lock was initially placed. […]

• No harm, potential for more than minimal, patternF755Jul 24, 2024

  Based on interview and record review the facility failed to provide pharmaceutical services, including procedures that assured the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals in 1 of 1 medication room review for medication storage . The facility failed to ensure that all medical supplies in the main medication storage room located in the in the front of the building were not past their expiration date. The facility's failure could result in residents receiving expired medical supplies, such as formula, as well as those supplies not being maintained at their best therapeutic level. […]

• No harm, potential for more than minimal, isolatedF580Jul 3, 2026

  Based on interview and record review and observation, the facility failed to immediately inform the resident, consult with the resident's physician, and notify, consistent with his or her authority, the resident's representative when there was a significant change in the resident's physical, mental, or psychosocial status for 1 of 3 residents (Resident #1) reviewed for change in condition. The facility failed to notify Residentnotify Resident #1's MD when she fell on 6/17/26 at around 12:00am. Resident #1 did not sustain any injury due to fall. This failure could place residents at risk of not receiving the appropriate care and services to maintain their health and safety. […]

• No harm, potential for more than minimal, isolatedF656Jul 3, 2026

  Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and time frames to meet a resident's medical, nursing, and mental and psychosocial needs for 1 (Resident #1) of 3 residents reviewed for care plans. The facility did not develop and implement a comprehensive person-centered care plan to address Resident #1's order and non compliance with use with a sling to left arm due to an acute fracture to left humerus head/neck after a fall on 06/17/26 at 05:30 a.m. This failure could place residents at risk for their needs not being met. […]