Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Windsor Nursing And Rehabilitation Center Of San D during CMS and state inspections, most recent first.
A facility failed to accurately document the timing of enteral nutrition for a resident, leading to a discrepancy in the clinical records. The order incorrectly stated the duration as 6:00 AM to 10:00 PM instead of the correct 10:00 PM to 6:00 AM. Staff interviews confirmed the error, which was not caught during the review process, potentially affecting the resident's nutrition management.
Inaccurate Documentation of Enteral Nutrition Timing
Penalty
Summary
The facility failed to maintain accurate clinical records for a resident, specifically regarding the timing of enteral nutrition administration. The order for the resident's enteral nutrition incorrectly stated the duration as 6:00 AM to 10:00 PM, whereas the correct timing should have been 10:00 PM to 6:00 AM. This discrepancy was identified during a review of the resident's records, which included a face sheet, MDS assessment, and order summary. The resident, who has Alzheimer's Disease and a gastrostomy status, receives nutrition through a G-tube at night while sleeping, as confirmed by interviews with the resident and staff. Interviews with the facility's staff, including an LVN, ADON, and DON, revealed that the incorrect order had been reviewed and approved by the dietician, DON, and MD. The staff acknowledged the error and discussed the potential for the resident to receive extra nutrition due to the incorrect order. The facility's policy on medication reconciliation outlines processes for verifying medication orders, but the error in the enteral nutrition order was not caught, leading to the deficiency.
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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 San Diego
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Meridian Care Of Alice | 9.8 mi | — | 9 | 4 |
| The Premier Snf Of Alice | 11.9 mi | — | 9 | 0 |
| Windsor Nursing And Rehabilitation Center Of Alice | 11.9 mi | — | 11 | 0 |
| Lone Star Ranch Rehabilitaion And Healthcare Cente | 29 mi | — | 3 | 0 |
| Kingsville Nursing And Rehabilitation Center | 29.9 mi | — | 5 | 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 August 2026) and official state health department websites.