WINDSOR HEALTH CARE CENTER Inspection Report, Violations & Safety Grade (YOUNGSTOWN, Ohio)

1735 BELMONT AVENUE, YOUNGSTOWN, Ohio 44504

Phone: 3307431393

CMS Overall:4/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

53.7

Ownership

For profit - Corporation

Provider Type

Medicare and Medicaid

County

Mahoning

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall4/5

Health3/5

Staffing4/5

Quality5/5

Nurse Staffing Check

Metric	This Facility	Ohio Avg	Difference
RN Hours per Resident per Day	0.61	0.64	-0.03
Total Nurse Hours per Resident per Day	3.49	3.71	-0.22
CMS Staffing Rating	4/5	2.4/5	-
Nursing Staff Turnover	27.3%	49%	-

Health Citation History

22 health citations on record

Date	Category	Description	Severity
2026-02-14	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	E – Moderate Harm Potential
2025-06-18	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	E – Moderate Harm Potential
2025-06-18	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D – Moderate Harm Potential
2025-06-18	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D – Moderate Harm Potential
2025-06-18	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D – Moderate Harm Potential
2025-06-18	Quality of Life and Care Deficiencies	Provide care or services that was trauma informed and/or culturally competent.	D – Moderate Harm Potential
2025-06-18	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2024-12-31	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F – Moderate Harm Potential
2023-02-27	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F – Moderate Harm Potential
2023-02-27	Resident Rights Deficiencies	Honor the resident's right to manage his or her financial affairs.	D – Moderate Harm Potential
2023-02-27	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D – Moderate Harm Potential
2023-02-27	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D – Moderate Harm Potential
2023-02-27	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D – Moderate Harm Potential
2023-02-27	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D – Moderate Harm Potential
2023-02-27	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D – Moderate Harm Potential
2023-02-27	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2020-02-20	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	E – Moderate Harm Potential
2020-02-20	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E – Moderate Harm Potential
2020-02-20	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E – Moderate Harm Potential
2020-02-20	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D – Moderate Harm Potential
2020-02-20	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D – Moderate Harm Potential
2020-02-20	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D – Moderate Harm Potential

Fire Safety Citation History

18 fire safety citations on record

Date	Category	Description	Severity
2023-02-27	Miscellaneous Deficiencies	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	F – Moderate Harm Potential
2023-02-27	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	F – Moderate Harm Potential
2023-02-27	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2023-02-27	Services Deficiencies	Meet other general requirements that are deficient.	E – Moderate Harm Potential
2023-02-27	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	E – Moderate Harm Potential
2020-02-20	Construction Deficiencies	Use approved construction type or materials.	F – Moderate Harm Potential
2020-02-20	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2020-02-20	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	F – Moderate Harm Potential
2020-02-20	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2020-02-20	Egress Deficiencies	Install emergency lighting that can last at least 1 1/2 hours.	E – Moderate Harm Potential
2020-02-20	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2020-02-20	Smoke Deficiencies	Install a fire alarm system that can be heard throughout the facility.	E – Moderate Harm Potential
2020-02-20	Smoke Deficiencies	Install an approved automatic sprinkler system.	E – Moderate Harm Potential
2020-02-20	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2020-02-20	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	E – Moderate Harm Potential
2020-02-20	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential
2020-02-20	Smoke Deficiencies	Properly provide smoke detection systems in areas open to corridors.	D – Moderate Harm Potential
2020-02-20	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	C – Minimal Harm Potential

Total Penalties & Fines

Total Fine Amount (CMS)

Number of Fines

Total Penalties

No penalty records found.

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3-Year Complete Report ($19)

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