Inspection Reports for The Windsor of Cape Coral

FL, 33991

Back to Facility Profile

Inspection Report Summary

The most recent inspection on September 17, 2025, cited deficiencies. Earlier inspections showed a mix of no deficiencies and various citations across complaint, monitor, standard, and expansion inspections, with some issues later corrected. The main themes of deficiencies involved resident care, staff training, medication management, and emergency or risk management. Complaint investigations were not substantiated or were not noted in the available reports. The facility’s inspection history shows ongoing challenges in these areas without a clear pattern of consistent improvement or worsening over time.

Deficiencies (last 7 years)

Deficiencies (over 7 years) 5.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

17% worse than Florida average
Florida average: 4.6 deficiencies/year

Deficiencies per year

8 6 4 2 0
2012
2014
2018
2020
2023
2024
2025

Inspection Report

Complaint Investigation
Deficiencies: 8 Date: Sep 17, 2025

Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.

Findings
Across the inspections, the facility had a mix of no deficiencies, deficiencies cited, and deficiencies corrected. Deficiencies were cited in several complaint, monitor, standard, and expansion inspections, with some later corrected.

Deficiencies (8)
Deficiencies Cited in Complaint inspections
Deficiencies Cited in Monitor inspections
Deficiencies Cited in Standard inspections
Deficiencies Cited in Expansion inspection
Deficiencies Corrected in Monitor inspections
Deficiencies Corrected in Complaint inspections
Deficiencies Corrected in Change of Ownership inspection
Deficiencies Corrected in Standard inspections
Report Facts
Inspections on page: 48

Inspection Report

Complaint
Deficiencies: 1 Date: Jul 23, 2025

Visit Reason
One Class 3 deficiency related to resident care elopement standards was cited.

Findings
One Class 3 deficiency related to resident care elopement standards was cited.

Deficiencies (1)
Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS

Inspection Report

Complaint
Deficiencies: 0 Date: Aug 13, 2024

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Feb 27, 2024

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Complaint
Deficiencies: 0 Date: May 4, 2023

Visit Reason
No deficiencies noted.

Findings
No deficiencies noted.

Inspection Report

Annual Inspection
Deficiencies: 3 Date: Oct 6, 2020

Visit Reason
Three Class 3 deficiencies related to staff training on in-service, HIV/AIDS, and do not resuscitate orders.

Findings
Three Class 3 deficiencies related to staff training on in-service, HIV/AIDS, and do not resuscitate orders.

Deficiencies (3)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS

Inspection Report

Monitor
Deficiencies: 1 Date: Jun 25, 2018

Visit Reason
One Class 3 deficiency related to physical plant safe living environment.

Findings
One Class 3 deficiency related to physical plant safe living environment.

Deficiencies (1)
Tag A0152 — PHYSICAL PLANT - SAFE LIVING ENVIRON/OTHER

Inspection Report

Annual Inspection
Deficiencies: 5 Date: Jan 30, 2018

Visit Reason
Five deficiencies: four Class 3 and one Class 4 related to training, do not resuscitate orders, and risk management.

Findings
Five deficiencies: four Class 3 and one Class 4 related to training, do not resuscitate orders, and risk management.

Deficiencies (5)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0086 — TRAINING - ADRD
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0165 — RISK MGMT & QA; ADVERSE INCIDENT REPORT

Inspection Report

Complaint
Deficiencies: 4 Date: Oct 14, 2014

Visit Reason
Four Class 3 deficiencies related to medication administration, labeling, OTC products, and dietary standards.

Findings
Four Class 3 deficiencies related to medication administration, labeling, OTC products, and dietary standards.

Deficiencies (4)
Tag A0053 — MEDICATION - ADMINISTRATION
Tag A0056 — MEDICATION - LABELING AND ORDERS
Tag A0057 — MEDICATION - OVER THE COUNTER (OTC) PRODUCTS
Tag A0093 — FOOD SERVICE - DIETARY STANDARDS

Inspection Report

Annual Inspection
Deficiencies: 6 Date: Mar 25, 2014

Visit Reason
Six Class 3 deficiencies related to admissions, resident care, training, Alzheimer’s special care, emergency management, and limited nursing services.

Findings
Six Class 3 deficiencies related to admissions, resident care, training, Alzheimer’s special care, emergency management, and limited nursing services.

Deficiencies (6)
Tag A0008 — ADMISSIONS - HEALTH ASSESSMENT
Tag A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0089 — ALZHEIMER'S/OTHER DISORDERS - SPECIAL CARE
Tag A0181 — EMERGENCY MGMT - PLAN APPROVAL
Tag AN277 — LNS - RESIDENT CARE STANDARDS

Inspection Report

Monitor
Deficiencies: 1 Date: Nov 1, 2012

Visit Reason
One Class 3 deficiency related to emergency management plan approval.

Findings
One Class 3 deficiency related to emergency management plan approval.

Deficiencies (1)
Tag A0181 — EMERGENCY MGMT - PLAN APPROVAL

Inspection Report

Expansion
Deficiencies: 3 Date: Oct 30, 2012

Visit Reason
Three deficiencies: two Class 3 and one Class 4 related to nursing services, medication self-administration, and staff records.

Findings
Three deficiencies: two Class 3 and one Class 4 related to nursing services, medication self-administration, and staff records.

Deficiencies (3)
Tag A0029 — RESIDENT CARE - NURSING SERVICES
Tag A0050 — MEDICATION - SELF ADMINISTERED MEDICATIONS
Tag A0161 — RECORDS - STAFF

Inspection Report

Complaint
Deficiencies: 6 Date: Sep 11, 2012

Visit Reason
Five Class 3 deficiencies related to resident care supervision, medication assistance, administration, and food service.

Findings
Five Class 3 deficiencies related to resident care supervision, medication assistance, administration, and food service.

Deficiencies (6)
Tag A0025 — RESIDENT CARE - SUPERVISION
Tag A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN
Tag A0053 — MEDICATION - ADMINISTRATION
Tag A0092 — FOOD SERVICE - GENERAL RESPONSIBILITIES
Tag AN277 — LNS - RESIDENT CARE STANDARDS
Tag AN278 — LNS - RECORDS

Viewing

Loading inspection reports...