Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Windridge Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
A resident was maintained on Zyprexa 5 mg at bedtime for insomnia over an extended period, despite a consultant pharmacist’s written request for evaluation and possible GDR, and notation that insomnia is not an approved diagnosis for this antipsychotic per CMS guidelines. The physician did not document any dose reduction or clinical rationale for continuing the current dose on the pharmacy report, while the medication was repeatedly reordered and continued to be administered. Facility policy required at least two GDR attempts within the first year for psychotropic medications and physician documentation of rationale, but the DON confirmed the physician did not address the pharmacist’s concerns or follow the GDR policy.
A facility failed to accurately code a resident's assessment, leading to incorrect documentation of daily antipsychotic medication use. The error occurred when the ADON mistook a lab test for Depakote levels as an active medication order, contrary to the facility's policy requiring accurate assessments.
The facility did not maintain RN coverage for eight consecutive hours, seven days a week, as required. On several dates in January and February 2024, there were no RN hours worked, which was confirmed by the facility's administrator. The facility housed 36 residents at the time, and the absence of RN coverage was identified through a review of RN time punch details and floor schedules.
The facility failed to maintain kitchen equipment and food storage practices, affecting 36 residents. Scoops were improperly left in food bins, and the ice machine had contaminants. A beef roast was held at an incorrect temperature, with staff showing inconsistent knowledge of standards. No residents showed signs of foodborne illness.
The facility failed to follow proper infection control techniques during catheter care for a resident, using the same gloves and washcloth multiple times without sanitizing hands. Additionally, Enhanced Barrier Precautions were not implemented for a resident with a PEG tube, as there was no signage or PPE available near the resident's room.
Failure to Obtain Physician Rationale for Continued Antipsychotic Use After Pharmacy Review
Penalty
Summary
Surveyors identified a deficiency related to the facility’s failure to ensure a physician provided a rationale for the continued use of an antipsychotic medication after a consultant pharmacist requested review. One resident had a physician’s order for Zyprexa 5 mg at bedtime for the diagnosis of insomnia, starting on 09/27/24. A pharmaceutical consultant report dated 04/24/25 documented that the resident was receiving Zyprexa 5 mg for insomnia and noted that insomnia was not an approved diagnosis for Zyprexa per CMS guidelines. The pharmacist requested that the physician evaluate the routine use of this psychoactive medication, consider a gradual dose reduction (GDR), and, if a dose reduction was not desired, provide a rationale for its continued use. In the section of the report designated for the physician’s response, there was no order for a dose reduction and no documented rationale for continuing the current dose. Record review showed that the resident’s Zyprexa order remained active on the December 2025 MAR, and the medication continued to be administered, including on 12/01/25 and 12/02/25, with the diagnosis of insomnia unchanged. A medication order audit form showed the Zyprexa 5 mg order had been repeatedly reordered on multiple dates from 10/22/24 through 11/11/25. The facility’s policy on psychotropic medications, revised 12/03/25, required that residents receiving psychotropic medications have GDRs attempted at least twice within the first year in two separate quarters, with documentation of the resident’s response and physician rationale if the dose was returned to a prior level. During interview, the DON stated that pharmacy consultation reports are used to alert the physician to issues such as the need to attempt a GDR, acknowledged that the physician had not addressed the pharmacist’s concerns about Zyprexa, and confirmed that the physician had not followed the facility’s policy regarding GDRs or provided a rationale for continued use.
Inaccurate Resident Assessment Documentation
Penalty
Summary
The facility failed to ensure accurate coding of resident assessments for one of the twelve residents reviewed. The resident in question had diagnoses including dementia, bipolar disorder, depression, and anxiety. A discrepancy was found in the resident's quarterly assessment, which inaccurately documented that the resident received an antipsychotic medication daily. This error occurred because the Assistant Director of Nursing (ADON) mistakenly interpreted a lab test for Depakote levels as an active order for the medication, leading to incorrect documentation in the Minimum Data Set (MDS). The facility's policy mandates that resident assessments be completed accurately, which was not adhered to in this instance.
Failure to Ensure RN Coverage 7 Days a Week
Penalty
Summary
The facility failed to ensure registered nurse (RN) coverage for eight consecutive hours, seven days a week, as required. The deficiency was identified through a review of RN time punch details and floor schedules for January, February, and March 2024. On specific dates, including January 6, 7, 20, 21, and February 4, 20, and 27, there were no RN hours worked, indicating a lack of RN presence during the required hours. The facility's administrator confirmed that the policy mandates RN coverage every day of the week and acknowledged that the specified dates were not covered by RNs. The facility housed 36 residents at the time of the survey. The absence of RN coverage on the identified dates was confirmed through interviews and record reviews conducted on August 22, 2024. The administrator provided the requested RN hours and acknowledged the failure to meet the required RN coverage, which is a critical component of ensuring adequate care and supervision for the residents.
Deficiencies in Kitchen Equipment Maintenance and Food Handling
Penalty
Summary
The facility failed to maintain kitchen equipment and food storage practices in accordance with professional standards, affecting 36 residents who consumed food from the kitchen. During observations, scoops were found left inside food bins containing cake mix, sugar, flour, brown sugar, and pinto beans, which is not compliant with proper food handling practices. Additionally, the ice machine was found to have pink and black substances on the deflector plate, with dark specks observed frozen inside the ice, indicating inadequate cleaning. The maintenance supervisor confirmed that the ice machine was cleaned by a contracted company every six months. Furthermore, the holding temperature of a beef roast was recorded at 135.9 degrees Fahrenheit, below the required 140 degrees Fahrenheit, as stated by the dietary manager. The dietary aide initially stated the holding temperature should be 170 degrees Fahrenheit, indicating a lack of consistent knowledge regarding proper food temperature standards. No residents showed signs or symptoms of foodborne illness at the time of the report.
Infection Control Deficiencies in Catheter and PEG Tube Care
Penalty
Summary
The facility failed to adhere to proper infection control techniques during catheter care for a resident with urinary retention, neuropathy, and cellulitis. A CNA was observed using improper techniques, such as using the same gloves and washcloth multiple times without sanitizing hands, and obtaining washcloths from an unclean area. The CNA did not follow the facility's policy of using soap and water, wiping from front to back, and ensuring cleanliness around the catheter. The ADON confirmed that washcloths hanging off handrails in the hallway were not considered clean. Additionally, the facility did not implement Enhanced Barrier Precautions (EBP) for a resident with a PEG tube, who had diagnoses including brain cancer, dysphagia, and seizures. There was no signage or PPE available near the resident's room, and the ADON stated that no residents were on EBP at the time. The facility's policy required the use of gown and gloves during high-contact care activities to prevent the transfer of Multi-Drug Resistant Organisms, but this was not followed for the resident with the PEG tube.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Miami
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Eastwood Manor | 1.8 mi | ★★★★★ | 0 | 0 |
| Miami Nursing Center, Llc | 2.9 mi | ★★★★★ | 14 | 2 |
| Higher Call Nursing Center | 5.3 mi | ★★★★★ | 3 | 0 |
| Maple Healthcare And Rehab | 10.8 mi | ★★★★★ | 0 | 0 |
| Quaker Hill Manor | 13.3 mi | ★★★★★ | 20 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.