Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
WINDSOR HEALTH AND REHABILITATION CENTER
STARKE, FL · 120 certified beds · Last Life Safety survey April 17, 2025
CMS Certification Number 105696 · first certified July 1990
Ownership
Operated by SIMCHA HYMAN & NAFTALI ZANZIPER · For profit - Limited Liability company
- Ownership changed November 3, 2020 (change of ownership)from NF WINDSOR LLC
Position within FL
28 citations — more than 99% of the 694 certified nursing homes in FL. Compared within FL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 6 citations; the earlier surveys in the window averaged 11. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window is open now: July 2026 to March 2027. This facility’s last Life Safety survey was April 2025. Facilities in FL are typically surveyed 15–23 months after the last one (median 17), measured over 729 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
Get an email about WINDSOR HEALTH AND REHABILITATION CENTER
One email when it happens. No account; stop it any time with one click.
1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
16 of the 28 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 28 Life Safety citations above. The Physical Environment Index
- F-0584 Honor 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.
- F-0880 Provide and implement an infection prevention and control program.
- F-0908 Keep all essential equipment working safely.
How that compares
Compared with the median facility in FL, and nationally. Surveyors differ markedly between states, so the FL figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 28 |
| Median facility in FL | 7 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| August 11, 2022 | 21 |
| February 1, 2024 | 1 |
| April 17, 2025 | 6 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 3 | 2025-04-17 |
| E-0030 | List the names and contact information of those in the facility. | 2 | 2025-04-17 |
| E-0022 | Establish policies and procedures for sheltering. | 1 | 2022-08-11 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2022-08-11 |
| E-0035 | Provide family notifications of emergency plan. | 1 | 2022-08-11 |
| K-0100 | Meet other general requirements. | 1 | 2025-04-17 |
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | 1 | 2025-04-17 |
| K-0254 | Provide hallway or ground-level exits in all residents' rooms. | 1 | 2022-08-11 |
What the citations cover
- Emergency Preparedness Deficiencies 16
- Smoke Deficiencies 7
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Construction Deficiencies 1
- Other 2
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 16 |
| Smoke Deficiencies | 7 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Construction Deficiencies | 1 |
| Egress Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
April 17, 2025 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0004 | Develop and maintain an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (May 13, 2025) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (May 13, 2025) |
| K-0100 | Meet other general requirements. | Deficient, Provider has date of correction (May 13, 2025) |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | Deficient, Provider has date of correction (May 13, 2025) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (May 13, 2025) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (May 13, 2025) |
February 1, 2024 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (March 21, 2024) |
August 11, 2022 — 21 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (September 20, 2022) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (September 20, 2022) |
| E-0009 | Include a process for Emergency Preparedness collaboration. | Deficient, Provider has date of correction (September 20, 2022) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (September 20, 2022) |
| E-0022 | Establish policies and procedures for sheltering. | Deficient, Provider has date of correction (September 20, 2022) |
| E-0023 | Establish policies and procedures for medical documentation. | Deficient, Provider has date of correction (September 20, 2022) |
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (September 20, 2022) |
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (September 20, 2022) |
| E-0029 | Develop a communication plan. | Deficient, Provider has date of correction (September 20, 2022) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (September 20, 2022) |
| E-0032 | Provide primary/alternate means for communication. | Deficient, Provider has date of correction (September 20, 2022) |
| E-0033 | Establish methods for sharing information. | Deficient, Provider has date of correction (September 20, 2022) |
| E-0034 | Provide a means of sharing information on occupancy/needs. | Deficient, Provider has date of correction (September 20, 2022) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (September 20, 2022) |
| K-0254 | Provide hallway or ground-level exits in all residents' rooms. | Deficient, Provider has date of correction (September 20, 2022) |
| K-0331 | Construct fire resistant interior walls. | Deficient, Provider has date of correction (September 20, 2022) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (September 20, 2022) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (September 20, 2022) |
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (September 20, 2022) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (September 20, 2022) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (September 20, 2022) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.