Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Windsor Point Continuing Care

Fuquay-Varina, NC · 45 certified beds · Last Life Safety survey November 27, 2024

CMS Certification Number 345500 · first certified March 2000

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within NC

8 citations — more than 34% of the 419 certified nursing homes in NC. Compared within NC 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

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (January 2026 to March 2026), and past the point by which nine in ten NC facilities have been surveyed. This facility’s last Life Safety survey was November 2024. Facilities in NC are typically surveyed 14–16 months after the last one (median 15), measured over 412 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

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Which alerts

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.

How that compares

Citations on file over three years

Compared with the median facility in NC, and nationally. Surveyors differ markedly between states, so the NC figure is the meaningful one.

This facility8NC median9National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in NC9
Median facility nationally11

Survey history

Citations at each Life Safety survey
22022-0752023-1012024-11
Citations at each Life Safety survey
Survey dateCitations
July 15, 20222
October 26, 20235
November 27, 20241

Most-cited tags

Most-cited tags at this facility
K-05213K-09231K-09121K-03741K-03551K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.32024-11-27
K-0923Have proper medical gas storage and administration areas.12022-07-15
K-0912Have power receptacles that are properly grounded.12023-10-26
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12023-10-26
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12023-10-26
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-10-26

What the citations cover

Citations by CMS category
  • Services Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Smoke Deficiencies 2
Citations by CMS category
CategoryCitations
Services Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3
Smoke Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

November 27, 2024 — 1 citation

Citations issued on November 27, 2024
TagWhat the surveyor checksStatus
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (March 10, 2025)

October 26, 2023 — 5 citations

Citations issued on October 26, 2023
TagWhat the surveyor checksStatus
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (January 30, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (January 30, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (January 30, 2024)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (January 30, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 30, 2024)

July 15, 2022 — 2 citations

Citations issued on July 15, 2022
TagWhat the surveyor checksStatus
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (August 18, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (August 18, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.