Tag 0550 · Severity E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-07-06Non-profit
Windsor Woods Rehab and Healthcare Center
13719 Dallas Dr, Hudson, FL 34667
(727) 862-6795 · Florida Institute for Long-Term Care
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | Non profit - Other | Certified beds | 103 |
|---|---|---|---|
| Estimated occupancy | 96.2% | Latest inspection | 2024-06-06 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 3 of 5
Health-inspection score
Facility: 38.0 points
Total nurse staffing
Facility: 3.24 hours/day
RN staffing
Facility: 0.42 hours/day
Staff turnover
Facility: 26.8%
Latest health deficiencies
Facility: 6 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 38.0 points | 54.5 points | 38.5 points |
| Total nurse staffing | 3.24 hours/day | 3.58 hours/day | 3.63 hours/day |
| RN staffing | 0.42 hours/day | 0.57 hours/day | 0.62 hours/day |
| Staff turnover | 26.8% | 44.3% | 41.8% |
| Latest health deficiencies | 6 deficiencies | 8.5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-06-06
6 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0645 · Severity D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-07-06Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-07-06Tag 0699 · Severity D
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-07-06Tag 0755 · Severity D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-07-06Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-07-062022-08-04
10 deficiencies
Highest severity: G
Immediate-jeopardy citations: 0
Tag 0692 · Severity G
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-08-28Tag 0761 · Severity E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-08-27Tag 0908 · Severity E
Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2022-08-27Tag 0583 · Severity D
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-09-04Tag 0584 · Severity D
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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-09-04Tag 0679 · Severity D
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-08-27Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2022-08-272021-03-26
0 deficiencies
Highest severity: Not reported by CMS
Immediate-jeopardy citations: 0
No matching citation detail was published.
Staffing composition
2.02 hours/dayNurse aide
0.80 hours/dayLPN
0.42 hours/dayRN
- Total staffing
- 3.24 hours/day
- County median
- 3.58 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.10 hours/day
- Staff turnover
- 26.8%
- RN turnover
- 50.0%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.6 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 1.6 per 1,000 days20250101-20251231
Emergency-department visits
0.4 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 0.8 per 1,000 days20250101-20251231
Falls with major injury
1.1%betterFlorida: 2.2% · County: 1.9%2025Q2-2026Q1
Pressure ulcers
9.4%worseFlorida: 4.2% · County: 5.1%2025Q2-2026Q1
Urinary tract infections
0.3%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
15.6%worseFlorida: 7.0% · County: 5.9%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
How many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcersHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Pasco County
- Certified beds
- 103
- Average daily residents
- 99.1
- Ownership
- Non profit - Other
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1987-05-11
- CCN
- 105568
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.01667 |
| Lpn hours | 0.80439 |
| Rn hours | 0.4224 |
| Reported total hours | 3.24347 |
| Weekend total hours | 3.09595 |
| Weekend rn hours | 0.14295 |
| Adjusted total hours | 3.44535 |
| Total turnover percent | 26.8 |
| Rn turnover percent | 50 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$0.00Total fines
0Number of fines
0Payment denials
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Citations
6Health citations
4Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
1
Provide enough food/fluids to maintain a resident's health.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| FI-WINDSOR WOODS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| FLORIDA INSTITUTE FOR LONG TERM CARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| OMEGA HEALTHCARE INVESTORS, INC | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| JAFFE, HOWARD | CORPORATE OFFICER | NOT APPLICABLE |
| KATZ-HALL, KATHY | CORPORATE OFFICER | NOT APPLICABLE |
| MULLARKEY, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| RICHMOND, PENNY | CORPORATE OFFICER | NOT APPLICABLE |
| CONSULTING SUPPORT SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ELEUS HEALTH MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FACILITY SUPPORT COMPANY, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KANE FINANCIAL SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CROUCHER, STEPHANIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VANBELKUM, DONNA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CONSULTING SUPPORT SERVICES, LLC | ADP OF THE SNF | NOT APPLICABLE |
| ELEUS HEALTH MANAGEMENT LLC | ADP OF THE SNF | NOT APPLICABLE |
| FACILITY SUPPORT COMPANY, LLC | ADP OF THE SNF | NOT APPLICABLE |
| FLORIDA INSTITUTE FOR LONG TERM CARE LLC | ADP OF THE SNF | NOT APPLICABLE |
| KANE FINANCIAL SERVICES, LLC | ADP OF THE SNF | NOT APPLICABLE |
| OMEGA HEALTHCARE INVESTORS, INC | ADP OF THE SNF | NOT APPLICABLE |
| SELECT REHABILITATION, LLC | ADP OF THE SNF | NOT APPLICABLE |
| CROUCHER, STEPHANIE | ADP OF THE SNF | NOT APPLICABLE |
| VANBELKUM, DONNA | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology