Nursing homeActive

Windsor Woods Rehab And Healthcare Center

13719 Dallas Dr, Hudson, FL 346677278626795103 certified beds · 99 residentsNon profit - OtherMedicare and Medicaid
Surveys on file
4
since 2021
Deficiencies
16
0151
Penalties · 3 yrs
none on file
Last survey
2025-04-24
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Agency for Health Care Administration (AHCA) · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-04-24Complaint030CMS-2567 (Care Compare)
2024-06-06Standard060CMS-2567 (Care Compare)
2022-08-04Standard061CMS-2567 (Care Compare)
2021-03-26Standard000CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Agency for Health Care Administration (AHCA) publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-04-24Complaint survey · 3 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-24Record 105568-20250424-F656
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-24Record 105568-20250424-F842
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-24Record 105568-20250424-F849
2024-06-06Standard survey · 6 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-06Record 105568-20240606-F550
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-06Record 105568-20240606-F645
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-06Record 105568-20240606-F684
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-06Record 105568-20240606-F699
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-06Record 105568-20240606-F755
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-06Record 105568-20240606-F759
2022-08-04Standard survey · 7 deficienciesOfficial report
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-08-28Record 105568-20220804-F692
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-04Record 105568-20220804-F583
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-04Record 105568-20220804-F584
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-08-27Record 105568-20220804-F679
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-08-27Record 105568-20220804-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-08-27Record 105568-20220804-F880
F908Keep all essential equipment working safely.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-08-27Record 105568-20220804-F908

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.42
Facility
Florida
National
Florida 0.73 · National 0.69
Total nurse hours per resident day3.24
Facility
Florida
National
Florida 3.82 · National 3.86
Weekend total nurse hours3.10
Facility
Florida
National
Florida 3.49 · National 3.42
Total nursing staff turnover27%
Facility
Florida
National
Florida 41% · National 46%
Registered nurse turnover50%
Facility
Florida
National
Florida 46% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityFloridaNational
Percentage of long-stay residents with pressure ulcers
lower is better
9.4%4.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.1%2.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
15.6%8.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.3%0.7%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
11.5%8.7%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
6.6%5.5%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
28.1%14.4%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Fi-Windsor Woods, LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Florida Institute For Long Term Care LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
Consulting Support Services, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Croucher, Stephanie
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Eleus Health Management LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Facility Support Company, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kane Financial Services, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Vanbelkum, Donna
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Consulting Support Services, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Croucher, Stephanie
Individual
ADP OF THE SNFNOT APPLICABLE
Eleus Health Management LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Facility Support Company, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Florida Institute For Long Term Care LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Jaffe, Howard
Individual
CORPORATE OFFICERNOT APPLICABLE
Kane Financial Services, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Katz-Hall, Kathy
Individual
CORPORATE OFFICERNOT APPLICABLE
Mullarkey, James
Individual
CORPORATE OFFICERNOT APPLICABLE
Omega Healthcare Investors, Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Omega Healthcare Investors, Inc
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Richmond, Penny
Individual
CORPORATE OFFICERNOT APPLICABLE
Select Rehabilitation, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Vanbelkum, Donna
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Florida Institute For Long-Term Care17 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Florida.

No county cost figures on file for Pasco.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Bayonet Point Health Center By Harborview
Hudson
0.6 mi2024-08-15040
Solaris Healthcare Bayonet Point
Hudson
1.3 mi2025-09-260152
Bear Creek Nursing Center
Hudson
1.9 mi2024-03-14092
Heather Hill Healthcare Center
New Port Richey
6.9 mi2026-05-200101
Madison Pointe Care Center
New Port Richey
7.3 mi2024-04-180101
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01