Windsor Nursing and Rehabilitation Center of Raymo

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Feb 26, 2026

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and help prevent the development and transmission of communicable and infections for 1 of 1 laundry room and 1 of 6 residents (Resident #1) reviewed or infection control in that:The facility failed to ensure textiles used for cleaning were stored properly to prevent contamination.The facility failed to ensure Resident #1 was provided tracheostomy care using sterile technique. These failures could result in the transmission of infection and illness. Findings included: 1. […]

• No harm, potential for more than minimal, widespreadF887Feb 26, 2026

  Based on interview and record review, the facility failed to ensure each resident and staff member was offered the COVID-19 vaccine for 1 of 1 facility reviewed for infection prevention. The facility failed to offer residents and staff the 2025-2026 COVID-19 vaccination. This failure could lead to the contraction and transmission of respiratory illness. Findings included: Record review of the staff vaccination records for 2025 did not reveal documentation of COVID-19 vaccination administration or documentation for the facility. In an interview on 02/25/2026 at 7:22 AM, the ADON said she served as the Infection Preventionist for the facility. […]

• No harm, potential for more than minimal, widespreadF908Feb 26, 2026

  Based on observation, interview and record review, the facility failed to maintain all mechanical, electrical and patient care equipment in safe operating condition for 1 of 1 facility's reviewed for safe and functioning equipment.The facility had 1 of 1 stand-up freezers inoperable. Based on observation on 2/23/2026 at 2:00 pm, the kitchen surveyor noted that the stand-up freezer was broken and inoperable. Based on interview with FSM on 2/23/2026 at 2:00 pm, FSM stated that the freezer has been broken for over a year and that they are storing food in a chest freezer. FSM stated that the work order has been placed in but they have not received a new one. […]

• No harm, potential for more than minimal, patternF609Feb 26, 2026

  Based on observation, interview, and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, or mistreatment, including injuries of unknown source, are reported within established timelines to the administrator of the facility and to the SSA for 5 of 7 residents (Residents #8, #16, #26, #20, #32) reviewed for abuse. The facility failed to ensure unexplained bruises found on Resident #32's right arm and wrist on 12/16/2025 were reported to the SSA.The facility failed to ensure a physical altercation between Residents #16 and #26 on 1/3/2026, in which Resident #26 allegedly scratched Resident #16 on the arm after he attempted to grab her breast, was reported to the SSA.The facility failed to ensure a physical altercation between Residents #8 and #20… […]

• No harm, potential for more than minimal, patternF610Feb 26, 2026

  Based on observation, interview, and record review, the facility failed to have evidence that all alleged violations were thoroughly investigated and reported the results of all investigations to the administrator or his or her designated representative and to other officials in accordance with State law, including to the State Survey Agency, within 5 working days of the incident for 5 of 7 residents (Residents #8, #16, #26, #20, #32) reviewed for abuse. The facility failed to ensure unexplained bruises found on Resident #32's right arm and wrist on 12/16/2025 were thoroughly investigated and the results reported.The facility failed to ensure a physical altercation between Residents #16 and #26 on 1/3/2026, in which Resident #26 allegedly scratched Resident #16 on the arm after he… […]