The Lev At Winchester

Inspection findings

1. Dec 5, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0553 Resident Rights Deficiencies

     Allow resident to participate in the development and implementation of his or her person-centered plan of care.

     Corrected Jan 27, 2026 · CMS health inspection

2. Aug 8, 2025 Health · 7 findings
   • Not serious Scope/severity D

     F0621 Resident Rights Deficiencies

     Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source

     Corrected Aug 9, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Aug 9, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Aug 9, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0727 Nursing and Physician Services Deficiencies

     Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

     Corrected Aug 26, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 9, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Aug 26, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected Aug 26, 2025 · CMS fire safety

3. Jun 28, 2024 Health · 6 findings
   • Not serious Scope/severity D

     F0727 Nursing and Physician Services Deficiencies

     Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

     Corrected Jul 26, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Jul 26, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Jul 19, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jun 27, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Jun 27, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Jun 27, 2024 · CMS fire safety

4. Apr 6, 2024 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Apr 24, 2024 · CMS health inspection

5. Apr 20, 2023 Health · 7 findings
   • Not serious Scope/severity E

     F0727 Nursing and Physician Services Deficiencies

     Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

     Corrected Apr 21, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Apr 21, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Apr 21, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 21, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0883 Infection Control Deficiencies

     Develop and implement policies and procedures for flu and pneumonia vaccinations.

     Corrected Apr 21, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Apr 6, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Apr 6, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• COUNCIL, JEFF — corporate officer, NOT APPLICABLE, since 01/01/2013
• CRAYTON, TOM — corporate officer, NOT APPLICABLE, since 01/01/2013
• DOUDS, ROBERT — corporate officer, NOT APPLICABLE, since 01/19/2016
• FREUDENBERGER, JOSEPH — w-2 managing employee, NOT APPLICABLE, since 06/19/2007
• FREUDENBERGER, JOSEPH — corporate officer, NOT APPLICABLE, since 06/19/2007
• HALEY, JEFF — corporate officer, NOT APPLICABLE, since 01/01/2012
• MARTIN, MELISSA — corporate officer, NOT APPLICABLE, since 01/01/2015
• MEFFORD, RUTHANNE — corporate officer, NOT APPLICABLE, since 01/01/2015
• PETROSEWICZ, NORMA — corporate officer, NOT APPLICABLE, since 01/01/2013
• POPATIA, AMIRALI — corporate officer, NOT APPLICABLE, since 01/01/2011
• SHKOP, AHARON — operational/managerial control, NOT APPLICABLE, since 10/01/2022
• UTHMAN, EDWARD — corporate officer, NOT APPLICABLE, since 01/01/2008
• ZERWAS, JOHN — corporate officer, NOT APPLICABLE, since 01/01/2013
• OAKBEND MEDICAL CENTER — 5% or greater direct ownership interest, 100%, since 03/31/2017
• SSC ALVIN OPERATING COMPANY LLC — operational/managerial control, NOT APPLICABLE, since 03/31/2017
• THE LEV AT WINCHESTER LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2022