Windsor Nursing And Rehabilitation Center Of Duval

Penalties

• Sep 9, 2024 — Fine ($5,736)
• Jan 27, 2024 — Fine ($17,605)

Inspection findings

1. May 22, 2026 Health · 9 findings
   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected May 23, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected May 23, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0605 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

     Corrected May 23, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected May 23, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected May 23, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected May 23, 2026 · 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 May 23, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 23, 2026 · CMS health inspection

   • Not serious Scope/severity D

     K0100 Construction Deficiencies

     Meet other general requirements.

     Corrected May 21, 2026 · CMS fire safety

2. Apr 15, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0573 Resident Rights Deficiencies

     Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

     Corrected Apr 16, 2026 · CMS health inspection

3. Jun 27, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Jun 28, 2025 · CMS health inspection

4. Apr 2, 2025 Health · 9 findings
   • Not serious Scope/severity E

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Apr 3, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Apr 3, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Apr 3, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0803 Nutrition and Dietary Deficiencies

     Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

     Corrected Apr 3, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0804 Nutrition and Dietary Deficiencies

     Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

     Corrected Apr 3, 2025 · 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 3, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 3, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0919 Environmental Deficiencies

     Make sure that a working call system is available in each resident's bathroom and bathing area.

     Corrected Apr 3, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Apr 18, 2025 · CMS fire safety

5. Sep 19, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0756 Pharmacy Service Deficiencies

     Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

     Corrected Sep 20, 2024 · CMS health inspection

6. Sep 9, 2024 Health · 1 finding
   • Serious Scope/severity G Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Aug 6, 2024 · CMS health inspection

7. May 18, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected May 19, 2024 · CMS health inspection

8. Jan 27, 2024 Fire Safety · 15 findings
   • Not serious Scope/severity F

     E0004 Emergency Preparedness Deficiencies

     Develop and maintain an Emergency Preparedness Program (EP).

     Corrected Jan 31, 2024 · CMS fire safety

   • Not serious Scope/severity E Complaint

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Jan 28, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected Jan 28, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Jan 28, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Jan 28, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0756 Pharmacy Service Deficiencies

     Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

     Corrected Jan 28, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Jan 28, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0806 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

     Corrected Jan 28, 2024 · CMS health inspection

   • Serious Scope/severity L Complaint

     F0921 Environmental Deficiencies

     Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

     Corrected Jan 28, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected Jan 28, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0926 Environmental Deficiencies

     Have policies on smoking.

     Corrected Jan 28, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Jan 31, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Jan 31, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

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

     Corrected Feb 22, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Jan 31, 2024 · CMS fire safety

9. Dec 1, 2023 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 7, 2023 · CMS health inspection

10. Oct 4, 2023 Health · 1 finding
    • Not serious Scope/severity E Complaint

      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 Oct 5, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BAIRD, DANIEL — managing control - governing body, NOT APPLICABLE, since 04/13/2021
• CARVAJAL, ANTONIO — managing control - governing body, NOT APPLICABLE, since 05/16/2024
• CLAPP, BARBARA — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• CORTESE, DAREN — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• DEKOWSKI, DONOVAN — adp of the snf, NOT APPLICABLE, since 04/01/2022
• DEKOWSKI, DONOVAN — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• DIAZ, CRIS — managing control - governing body, NOT APPLICABLE, since 05/25/2022
• FAXIGUE, BLAISE — adp of the snf, NOT APPLICABLE, since 01/01/2025
• GIBSON, PATRICIA — managing control - governing body, NOT APPLICABLE, since 08/01/2021
• GONZALES, VERONICA — managing control - governing body, NOT APPLICABLE, since 05/16/2024
• GROCHOWALSKI, KRISTIN — adp of the snf, NOT APPLICABLE, since 01/01/2025
• HELMCAMP, TERRELL — adp of the snf, NOT APPLICABLE, since 02/06/2012
• HELMCAMP, TERRELL — operational/managerial control, NOT APPLICABLE, since 02/06/2012
• JURADO, JORGE — corporate officer, NOT APPLICABLE, since 10/13/2023
• JURADO, JORGE — managing control - governing body, NOT APPLICABLE, since 10/13/2023
• KAUFMAN, NICOLE — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• MANDELBAUM, ELLIOT — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• MOMIN, ZAHIR — adp of the snf, NOT APPLICABLE, since 08/01/2021
• OTAZO, JULIO — managing control - governing body, NOT APPLICABLE, since 05/25/2022
• PALMER, ROBIN — managing control - governing body, NOT APPLICABLE, since 11/18/2020
• 5301 WEST DUVAL ROAD LLC — adp of the snf, NOT APPLICABLE, since 04/01/2022
• DWD TX HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• REG HG OPCO I, LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• REG HG OPCO LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• REG OPERATOR HOLDCO LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2022
• REGENCY IHS MASTER TENANT LLC — adp of the snf, NOT APPLICABLE, since 04/01/2022
• REGENCY IHS OF WINDSOR DUVAL LLC — adp of the snf, NOT APPLICABLE, since 11/05/2024
• REGENCY IHS OF WINDSOR DUVAL LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• REGENCY IHS OF WINDSOR DUVAL LLC — direct ownership interest, NOT APPLICABLE, since 04/01/2022
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 04/01/2022
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 04/01/2022
• REGENCY INTEGRATED HEALTH SERVICES LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• REGENCY INTEGRATED HEALTH SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• REGENCY TEXAS HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 04/01/2022
• VAL VERDE COUNTY HOSPITAL DISTRICT — adp of the snf, NOT APPLICABLE, since 04/28/2025
• VAL VERDE COUNTY HOSPITAL DISTRICT — operational/managerial control, NOT APPLICABLE, since 04/01/2022
• VAL VERDE COUNTY HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 04/01/2022