Windsor Woods Rehab And Healthcare Center
Hudson, Pasco County, Florida · CCN 105568 · Non-profit (Other) · part of Florida Institute For Long-Term Care (17 facilities, chain average 2.2 stars)
CMS rates Windsor Woods Rehab And Healthcare Center 3 of 5 overall as of August 2026. 103 certified beds, 99 residents a day on average. 16 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.
On record
- No health inspection in more than two years, by CMS’s own flag.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 3 of 5 |
Staffing
| Total nurse staffing | 3.24347 hours per resident per day |
|---|---|
| Registered nurses | 0.4224 hours per resident per day |
| Weekend total | 3.09595 hours per resident per day |
| Nursing staff turnover | 26.8% (registered nurses 50%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-04-24 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-24 |
| 2025-04-24 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-24 |
| 2025-04-24 complaint survey |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · tag F0849 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-24 |
| 2024-06-06 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-07-06 |
| 2024-06-06 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-06 |
| 2024-06-06 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-06 |
| 2024-06-06 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · tag F0699 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-06 |
| 2024-06-06 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-06 |
| 2024-06-06 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-06 |
| 2022-08-04 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2022-08-28 |
| 2022-08-04 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-08-27 |
| 2022-08-04 | Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-08-27 |
| 2022-08-04 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-09-04 |
| 2022-08-04 | 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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-09-04 |
| 2022-08-04 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-08-27 |
| 2022-08-04 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-08-27 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Fi-Windsor Woods, LLC Organization | 5% or greater direct ownership interest | 100% | 2003-05-13 |
| Florida Institute For Long Term Care LLC Organization | 5% or greater indirect ownership interest | 100% | 2002-12-23 |
| Omega Healthcare Investors, Inc. Organization | 5% or greater security interest | — | 2003-07-01 |
| Consulting Support Services, LLC Organization | adp of the snf | — | 2025-04-18 |
| Eleus Health Management LLC Organization | adp of the snf | — | 2025-04-18 |
| Facility Support Company, LLC Organization | adp of the snf | — | 2025-03-24 |
| Florida Institute For Long Term Care LLC Organization | adp of the snf | — | 2025-04-18 |
| Kane Financial Services, LLC Organization | adp of the snf | — | 2025-03-24 |
| Omega Healthcare Investors, Inc. Organization | adp of the snf | — | 2003-07-01 |
| Select Rehabilitation, LLC Organization | adp of the snf | — | 2016-08-19 |
| Consulting Support Services, LLC Organization | operational/managerial control | — | 2011-06-28 |
| Eleus Health Management LLC Organization | operational/managerial control | — | 2009-09-01 |
| Facility Support Company, LLC Organization | operational/managerial control | — | 2010-12-13 |
| Kane Financial Services, LLC Organization | operational/managerial control | — | 2012-06-06 |
| Croucher, Stephanie Individual | adp of the snf | — | 2020-11-15 |
| Vanbelkum, Donna Individual | adp of the snf | — | 2019-08-16 |
| Jaffe, Howard Individual | corporate officer | — | 2014-07-01 |
| Katz-Hall, Kathy Individual | corporate officer | — | 2014-07-01 |
| Mullarkey, James Individual | corporate officer | — | 2014-07-01 |
| Richmond, Penny Individual | corporate officer | — | 2014-07-01 |
| Croucher, Stephanie Individual | operational/managerial control | — | 2020-11-15 |
| Vanbelkum, Donna Individual | operational/managerial control | — | 2019-08-16 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Windsor Woods Rehab And Healthcare Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Pasco County.