Windber Woods Senior Living & Rehabilitation Ctr
277 Hoffman Avenue · Windber, PA · 15963 · 8144675505
127 certified beds Non profit - Corporation Part of a CCRC
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $27,226 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
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: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 3.96 | ≈ weekday level |
| Nursing turnover / year | 38% | median 45% |
| Fines (3-yr window) | 3 · $27,226 |
Inspection citations (50 in the current record)
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Potential for harm · D February 27, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 27, 2026 · Resident Rights
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Potential for harm · E February 27, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected April 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026
Respond appropriately to all alleged violations.
Corrected April 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 27, 2026 · Pharmacy Service
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Potential for harm · D February 27, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected April 27, 2026 · Pharmacy Service
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Potential for harm · D February 27, 2026
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected April 27, 2026 · Administration
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Potential for harm · E February 27, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 27, 2026 · Nutrition and Dietary
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Potential for harm · D February 27, 2026
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected April 27, 2026 · Administration
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Potential for harm · D February 27, 2026
Provide and implement an infection prevention and control program.
Corrected April 27, 2026 · Infection Control
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Actual harm · G March 27, 2025
Ensure that residents are free from significant medication errors.
Corrected May 26, 2025 · Pharmacy Service
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Potential for harm · D March 27, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 27, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 26, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 26, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 27, 2025 · Quality of Life and Care
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Potential for harm · E March 27, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected May 26, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 26, 2025 · Pharmacy Service
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Potential for harm · D March 27, 2025
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 May 26, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 27, 2025 | Fine | $11,190 |
| October 23, 2024 | Fine | $8,018 |
| October 23, 2024 | Fine | $8,018 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395090 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.