01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-31 | 0 | 2024-11-27 | 1 |
| Cycle 2 | 2024-11-27 | 5 | 2023-10-26 | 5 |
| Cycle 3 | 2023-10-26 | 5 | 2022-07-15 | 2 |
CMS CCN 3455002026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Windsor Point Continuing Care
1221 Broad Street · Fuquay-Varina, NC 27526 · Harnett County
Certified beds45CMS provider file
Recent citation rows18current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
18 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-11-27 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2024-12-222024-11-27 · HEALTHF0641Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has plan of correction · 2024-12-252024-11-27 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-12-252024-11-27 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-12-252024-11-27 · HEALTHF0728Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Correction field: Deficient, Provider has date of correction · 2024-12-252024-11-27 · FIREK0521Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2025-03-102023-10-26 · HEALTHF0655Severity C · widespread; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has plan of correction · 2023-11-232023-10-26 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2023-11-232023-10-26 · HEALTHF0847Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Correction field: Deficient, Provider has date of correction · 2023-11-232023-10-26 · HEALTHF0848Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Correction field: Deficient, Provider has date of correction · 2023-11-232023-10-26 · HEALTHF0851Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Correction field: Deficient, Provider has date of correction · 2023-11-232023-10-26 · FIREK0355Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2024-01-302023-10-26 · FIREK0374Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2024-01-302023-10-26 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2024-01-302023-10-26 · FIREK0912Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Correction field: Deficient, Provider has date of correction · 2024-01-302023-10-26 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-01-302022-07-15 · FIREK0521Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2022-08-182022-07-15 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2022-08-1803 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- EVANS, TONIIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST6% · since 07/07/1995
- MILLER, WILLIAMIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST6% · since 07/07/1995
- SHERRILL, DEBBIEIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST6% · since 07/07/1995
- EVANS, RILEYIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/07/1995
- EVANS, ROBERTIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/07/1995
- JONHSON, FLORENCEIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/07/1995
- MILLER, ROSEMARYIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/07/1995
- STAN JOHNSON AND ASSOCIATE LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 07/07/1995
- EVANS, RILEYIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 07/07/1995
- EVANS, ROBERTIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 07/07/1995
- EVANS, TONIIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 07/07/1995
- JONHSON, FLORENCEIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 07/07/1995
- MILLER, ROSEMARYIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 07/07/1995
- MILLER, WILLIAMIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 07/07/1995
- SHERRILL, DEBBIEIndividual · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 07/07/1995
- STAN JOHNSON AND ASSOCIATE LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 07/07/1995
- EVANS, RILEYIndividual · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 07/07/1995
- EVANS, ROBERTIndividual · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 07/07/1995
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.43per resident day
RN hours1.02per resident day
Weekend nurse hours3.97per resident day
Staff turnover63.8%CMS reported field
06 / LOCAL RECORDS
Open the North Carolina ledger →Other published facilities nearby
No second facility in the same city met the directory rule.