Windsor Lane Healthcare Center
355 Windsor Lane · Gibsonburg, OH · 43431 · 4196372104
89 certified beds For profit - Limited Liability company
Why this verdict
- Carries CMS’s abuse warning icon.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.29 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 3.93 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (42 in the current record)
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Potential for harm · D February 27, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 29, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 10, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D September 10, 2025 · found via complaint
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.
Corrected September 29, 2025 · Pharmacy Service
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Potential for harm · D September 10, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 29, 2025 · Resident Assessment and Care Planning
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Actual harm · G December 11, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 18, 2024 · Quality of Life and Care
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Potential for harm · D November 22, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 7, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 25, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 25, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 25, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 13, 2024 · Quality of Life and Care
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Potential for harm · D July 25, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 13, 2024 · Quality of Life and Care
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Potential for harm · D July 25, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected September 13, 2024 · Quality of Life and Care
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Potential for harm · D July 25, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 13, 2024 · Quality of Life and Care
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Potential for harm · D July 25, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 13, 2024 · Pharmacy Service
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Potential for harm · D July 25, 2024
Provide or obtain dental services for each resident.
Corrected September 13, 2024 · Quality of Life and Care
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Potential for harm · D July 25, 2024
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected September 13, 2024 · Nutrition and Dietary
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Potential for harm · D July 25, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected September 13, 2024 · Nutrition and Dietary
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No harm found · C July 25, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · C July 25, 2024
Have enough backup water supply for essential areas of the nursing home.
Corrected August 23, 2024 · Environmental
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No harm found · C July 25, 2024
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected August 23, 2024 · Nursing and Physician Services
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Potential for harm · D February 27, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 5, 2024 · Pharmacy Service
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Potential for harm · D August 24, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 15, 2023 · Resident Rights
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Potential for harm · D August 24, 2023 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected September 15, 2023 · Quality of Life and Care
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Potential for harm · D November 24, 2021
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected December 22, 2021 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365681 · certified since June 13, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.