Windsor Woods Rehab and Healthcare Center
13719 Dallas Dr, Hudson, FL 34667 · Pasco County · 103 certified beds · avg 99 residents/day · certified since May 11, 1987
Part of chain: FLORIDA INSTITUTE FOR LONG-TERM CARE (17 facilities, chain avg rating 2.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Aug 4, 2022 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 28, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (16)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 24, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · from a complaint |
| Jun 6, 2024 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jun 6, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jun 6, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jun 6, 2024 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Jun 6, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jun 6, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Aug 4, 2022 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Aug 4, 2022 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 4, 2022 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Aug 4, 2022 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Aug 4, 2022 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Aug 4, 2022 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Aug 4, 2022 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 7 | 1 | G ▲ |
| 2024 | 6 | 0 | E |
| 2025 | 3 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.45 | 4.03 | 3.95 | bottom 12% in Florida; bottom 34% in the U.S. |
| Registered Nurse hours | 0.45 | 0.76 | 0.69 | bottom 15% in Florida; bottom 30% in the U.S. |
| Weekend total nurse staffing | 3.29 | 3.68 | 3.50 | bottom 20% in Florida; bottom 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.14 | 0.53 | 0.48 | bottom 2% in Florida; bottom 4% in the U.S. |
| Total nursing staff turnover (%) | 26.8 | 41.4 | 45.8 | top 16% in Florida; top 9% in the U.S. |
| RN turnover (%) | 50.0 | 46.0 | 42.9 | bottom 44% in Florida; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.24, RN 0.42, weekend 3.10. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fi-Windsor Woods, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/13/2003 |
| Florida Institute for Long Term Care LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 12/23/2002 |
| Consulting Support Services, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/28/2011 |
| Consulting Support Services, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/18/2025 |
| Croucher, Stephanie | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/15/2020 |
| Croucher, Stephanie | Individual | ADP of the SNF | NOT APPLICABLE | 11/15/2020 |
| Eleus Health Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2009 |
| Eleus Health Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/18/2025 |
| Facility Support Company, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/13/2010 |
| Facility Support Company, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/24/2025 |
| Florida Institute for Long Term Care LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/18/2025 |
| Jaffe, Howard | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2014 |
| Kane Financial Services, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/06/2012 |
| Kane Financial Services, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/24/2025 |
| Katz-Hall, Kathy | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2014 |
| Mullarkey, James | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2014 |
| Omega Healthcare Investors, INC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 07/01/2003 |
| Omega Healthcare Investors, INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2003 |
| Richmond, Penny | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2014 |
| Select Rehabilitation, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/19/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you learn about each resident's background and history, and how does that shape their care?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Bayonet Point Health Center by Harborview | 0.6 mi | Hudson, FL | ★★★☆☆ | 3/5 | |
| Solaris Healthcare Bayonet Point | 1.3 mi | Hudson, FL | ★★★☆☆ | 2/5 | |
| Bear Creek Nursing Center | 1.9 mi | Hudson, FL | ★★☆☆☆ | 2/5 | |
| Heather Hill Healthcare Center | 6.9 mi | New Port Richey, FL | ★★☆☆☆ | 2/5 | |
| Madison Pointe Care Center | 7.3 mi | New Port Richey, FL | ★★★☆☆ | 2/5 | abuse |
| Nursing & Rehabilitation Center of New Port Richey | 7.5 mi | New Port Richey, FL | ★☆☆☆☆ | 2/5 | |
| Southern Pines Nursing Center | 7.5 mi | New Port Richey, FL | ★★☆☆☆ | 2/5 | |
| Aspire at Ridge Haven | 8.7 mi | New Port Richey, FL | ★★★☆☆ | 3/5 | |
| Life Care Center of New Port Richey | 8.9 mi | New Port Richey, FL | ★★★★☆ | 3/5 | |
| Trinity Regional Rehab Center | 10.4 mi | Trinity, FL | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 105568.