Windsor Nursing and Rehabilitation Center of Corpu

Inspectors wroteBased on observations, interviews and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 5 residents (Resident #1) reviewed for accidents. The facility failed to ensure Resident #1 was secured in bed during a linen change and fell out of bed onto the floor on 05/29/26. This failure could place residents at risk for injury from falling and decreased quality of life. Findings Included:Record review of Resident #1's face sheet indicated Resident #1 was a [AGE] year-old female admitted to the facility on [DATE] with an original admission date of 02/25/26. Diagnoses included terminal cirrhosis of the liver (a chronic liver disease characterized by formation of permanent scar tissue (fibrosis) that damages the liver and interferes with its functioning; [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from any significant medication errors for one of eight residents (Resident #3) reviewed for medication errors. The facility failed to hold Resident #3's midodrine (blood pressure medication) when Resident #3's blood pressure was outside of physician's parameters on April 3rd, 9th, 10th, 15th, and 21st of 2026. This failure could place residents at risk for complications such as increased blood pressure, exacerbation of symptoms, and potential hospitalization.

Inspectors wroteBased on observation, interview and record review, the facility failed to provide reasonable accommodation of resident needs and preferences, for 2 of 6 residents (Resident #35 and Resident #79) reviewed for call light placement. The facility failed to ensure Resident #35 and Resident #79's call lights were within reach. This failure could place residents at risk of needs and accommodations being unmet.

Inspectors wroteBased on observation, interview and record review, the facility failed to have physician orders for the resident's immediate care at time of admission, for 2 of 12 residents (Resident #48 and Resident #124) reviewed for physician admission orders. -The facility failed to ensure Resident #48's Morphine order had specific pain level parameters for administration. -The facility failed to have physician orders in place for Resident #124's indwelling catheter. These failures could place residents at risk of not receiving appropriate care.

Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure the assessment accurately reflected the resident's status, for 1 of 6 (Resident #124) residents reviewed for accuracy of assessments. The facility failed to ensure Resident #124's baseline care plan was accurate. This failure could place residents at risk of improper or incorrect care and services necessary for their physical, mental, and psychosocial well-being.

Inspectors wroteBased on interviews and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs, for 2 (Resident #106 and Resident #68) of 16 residents reviewed for care plans. - The facility failed to develop Resident #106's care plan in that his oxygen use was not identified and planned for. - The facility failed to ensure Resident #68's care plan reflected the need for enhanced barrier precautions. These failures could place residents at an increased risk of needs going unmet or harm.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that residents who needed respiratory care were provided such care consistent with professional standards of practice, physicians orders, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 5 residents (Resident #106) reviewed for respiratory care. The facility failed to ensure LVN C transcribed a physician's order during her shift for oxygen at 2 Lpm as needed into PCC for Resident #9. This deficient practice could place residents at-risk for insufficient or inappropriate care due to other staff not being aware the physician's order existed.

Inspectors wroteBased on interview and record review, the facility failed to ensure each resident's drug regimen was free from unnecessary drugs, for 1 of 6 (Resident #76) residents reviewed for unnecessary medications. The facility failed to ensure Resident #76's Xanax (psychotropic medication for anxiety) medication was not used for an excessive duration. This failure could put residents at risk of harm from adverse reactions or harmful side effects.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure that drugs and biologicals were stored in locked compartments for 1 of 8 medication carts observed for compliance. The facility failed to ensure the 400-hall medication cart was not left unlocked and unattended by LVN I.This failure could place residents at risk of access and ingestion of medications and risk of drug diversion. Observation on 5/3/26, at 10:30 a.m., the 400-hall medication cart was unlocked and no staff member within view of the cart. During an interview on 5/3/2026 at 10:35 a.m., LVN I verbalized the cart was hers and she had stepped into a room to assist a resident. LVN I verbalized she thought she locked the cart before walking away. LVN I stated it is her responsibility and expected of her to lock the cart. [...]

Inspectors wroteBased 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 to help prevent the development and transmission of communicable diseases and infections for 1 (Resident #64) of 5 residents reviewed for infection control practices. The facility failed to ensure RN A washed her hands prior to beginning wound care, performed hand hygiene and changed gloves between removing soiled dressings and placing clean dressings, and washed her hands after performing wound care for Resident #64. The facility failed to ensure RN A did not place clean wound care supplies on a surface that had not been disinfected. The facility failed to ensure RN A placed a barrier between Resident #64's buttocks and brief during wound care. [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure residents had the right to be free from abuse for one (Resident #1) of 5 residents reviewed for abuse. The facility failed to protect Resident #1 from Resident #2's sexual abuse on 11/21/25 in the dining room during dinner service at around 4:45 PM. This failure could lead to residents developing or exacerbating anxiety, depression, and feelings of embarrassment.

Inspectors wroteBased on observation, interview, and record review, the facility failed to dispose of expired medications for 1 of 4 medication carts (Hall #3 med-cart, a mobile cart used to pass medication) reviewed for storage and 1 of 1 medication room (med-room [ROOM NUMBER]) reviewed for storage, as well as the facility failed to ensure all drugs and biologicals were stored in accordance with currently accepted professional principles for 1 of 4 med-carts (Hall #3 med-cart) reviewed for storage. 1). The facility failed to dispose from hall #3 med-cart a bottle of antacids that had expired in March of 2022 and a saline enema that had expired in January of 2025. 2.) The facility failed to dispose from med-room [ROOM NUMBER] a box of single dose, prefilled Pneumonia vaccine syringes. [...]

Inspectors wroteBased 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 to help prevent the development and transmission of communicable diseases and infections, for 5 of 25 residents observed for infection control practices, in that: 1. The facility failed to ensure LVN H and the RA appropriately followed infection control practices when the RA grabbed the top of resident cups by top rims with bare hands, and LVN H grabbed sliced bread, while passing out meal trays to 5 of 25 residents in the dining room during lunch on 03/11/25. 2. The facility failed to post Enhanced Barrier Precaution signs outside the rooms of Resident #88 and #105, so staff and visitors were unaware of what if any precautions were need prior to entering the room. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to review and revise the care plans for 1 of 5 residents (Resident #1) whose care plans were reviewed, in that: The facility failed to ensure Resident #1's care plans accurately reflected current mobility and activity level and status. These failures could place residents at risk of receiving inadequate individualized care and services.

Inspectors wroteBased on observations, interviews, and record reviews, 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 The facility failed to ensure kitchen staff used proper hand washing and sanitation procedures when handling and serving food. These failures placed residents who received food from the kitchen at risk for food borne illness.

Inspectors wroteBased on interviews and record reviews, the facility failed to utilize the services of an RN for 8 consecutive hours 7 days a week for 49 days out of 438 days reviewed. The facility failed to have an RN for 8 consecutive hours 7 days a week for 49 days out of 438 days reviewed from September 30, 2022, through December 11, 2023. These failures could place all residents at risk for their clinical needs not being met.

Inspectors wroteBased on observation, interview and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one of five residents (Resident #1) reviewed for infection control. 1. CNA A did not perform hand hygiene or glove changes after touching Resident #1's purple foot pad/foam on Resident #1's foot, nor did she perform hand hygiene during perineal care . This failure could place residents at risk for infection.

Inspectors wroteBased on Observations and interviews, the facility failed to provide a safe, sanitary, and comfortable environment for 1 of 1 hall reviewed for the environment in that: The facility failed to prohibit a gas-powered [NAME] from being driven inside the building. This failure could place residents at risk of living in an unsafe, unsanitary, and uncomfortable environment