Florida Windsor Assisted Living & Memory Care Facilities
The Windsor facilities are a group of senior living residences owned by Legend Senior Living. Legend Senior Living, LLC. operates 55 facilities across the country, offering assisted living, memory care, nursing care, and independent living. Facilities can be found in Colorado, Florida, Kansas, Oklahoma, Texas, and Pennsylvania. Legend Senior Living was founded approximately 30 years ago.
Legend Senior Living currently has 10 assisted living facilities (ALFs) in the state of Florida. In addition to these ALFs, Legend Senior Living also has an independent living facility in Jacksonville- Windsor Pointe Independent Living.
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The Windsor at Ortega in Jacksonville, Florida
Located at 5939 Roosevelt Blvd., in Jacksonville, Florida, The Windsor at Ortega offers assisted living and memory care services.
The Windsor at Ortega is a 120-bed, for-profit facility.
Prior Lawsuits Against The Windsor at Ortega
Duls Duckett, Mary E/O vs. The Windsor at Ortega
Allegations: Howard Duckett, the personal representative of the estate of Mary Duls Duckett, filed a nursing home negligence case against The Windsor at Ortega in March of 2022. According to the case complaint, Mary suffered from numerous falls at the facility. On around January 7th, 2021, Mary fell and was sent to the hospital. She was diagnosed with a subdural hematoma, also known as a brain bleed, a urinary tract infection (UTI), and a fracture to her pubic bone. She passed away on January 21st from blunt impact head trauma.
Mullen, JoAnn B. E/O vs. The Windsor at Ortega
Allegations: In August of 2021, Deborah Drennon Gervin, acting as the personal representative of JoAnn Mullen’s estate, filed a nursing home negligence lawsuit against The Windsor at Ortega. Ms. Mullen was oxygen dependent and used a nasal cannula. During the evening on May 16th, 2020, Ms. Mullen’s cannula was dislodged. Staff failed to check on Ms. Mullen during the night. Ms. Mullen passed away early the next morning due to the lack of oxygen.
Deficiencies at The Windsor at Ortega for Resident Care Violations
January 14th, 2021, Inspection at The Windsor at Ortega
During an inspection at The Windsor at Ortega in January 2021, inspectors from the Agency for Health Care Administration, or AHCA, found that the facility had failed to conduct regular elopement drills with their employees. Elopement drills must be conducted twice a year to ensure all staff understand what to do in the event that a resident elopes from the facility.
The Windsor at San Pablo in Jacksonville, Florida
The Windsor at San Pablo can be found at 4000 San Pablo Parkway in Jacksonville, Florida.
This 120-bed, for-profit facility offers both memory care and assisted living services.
Prior Lawsuit Against The Windsor at San Pablo
Tillman Jennings, Raymond E/O vs. The Windsor at San Pablo
Allegations: A nursing home negligence case against The Windsor at San Pablo was filed in July 2019. Billie Sue Jennings, the widow, and personal representative of the estate of Raymond Tillman Jennings, sued The Windsor at San Pablo following her husband’s passing. Within 15 minutes of being admitted to the facility, Mr. Tillman Jennings suffered a severe fall resulting in a fractured right hip. The facility failed to send Mr. Tillman Jennings to the hospital until three days after the fall. Due to the severity of the injury and delay in care, Mr. Tillman Jennings unfortunately passed away.
Deficiencies at The Windsor at San Pablo for Resident Care Violations
May 28th, 2021, Inspection at The Windsor at San Pablo
An inspection was conducted by AHCA at The Windsor at San Pablo in May of 2021. During the inspection, several deficiencies were identified. It was determined that The Windsor at San Pablo failed to conduct elopement drills, maintain accurate resident records, and ensure staff assisted residents properly with self-administration medications.
The Windsor of Bradenton in Bradenton, Florida
The Windsor of Bradenton is a for-profit, 54-bed facility offering assisted living and memory care.
Windsor of Bradenton is located at 2800 60th Ave. W. in Bradenton, Florida.
Prior Lawsuit Against The Windsor of Bradenton
Becker, Virginia C. E/O vs. The Windsor of Bradenton
Allegations: In December 2017, a lawsuit was filed against The Windsor of Bradenton by the personal representative of Virginia C. Becker’s estate. According to the complaint, while under the care of The Windsor of Bradenton Ms. Becker suffered from multiple falls resulting in a scalp laceration and right hip fracture. Additionally, she suffered from a stage one bed sore on her coccyx, a stage two bed sore on her bottom, a urinary tract infection, contractures of her left leg, and dehydration.
Deficiencies at The Windsor of Bradenton for Resident Care Violations
April 27th, 2023, Inspection at The Windsor of Bradenton
During an inspection conducted at The Windsor of Bradenton in late April 2023, it was determined that several employees had not received mandatory training in areas such as: infection control, safe food handling, reporting adverse events, facility emergency procedures, resident elopement, and incident reporting.
April 12th, 2022, Inspection at The Windsor of Bradenton
This complaint inspection concluded that staff at The Windsor of Bradenton had allowed a resident to elope from their facility. While AHCA inspectors were interviewing staff after the incident, the Health and Wellness Director expressed that she thought all residents were allowed to come and go from the facility as they wished. Additionally, the Administrator of the facility did not file an adverse incident report with the state following the incident.
The Windsor of Cape Coral in Cape Coral, Florida
The Windsor of Cape Coral is a 94-bed assisted living and memory care facility. It is located at 831 Santa Barbara Boulevard in Cape Coral, Florida.
Lawsuits vs. The Windsor of Cape Coral for Assisted Living Negligence
There are no pending lawsuits against the Windsor of Cape Coral alleging assisted living facility neglect.
Deficiencies at The Windsor of Cape Coral for Resident Care Violations
October 6th, 2020, Inspection at The Windsor of Cape Coral
During an unannounced inspection, investigators found that the facility had failed to ensure that staff complete the training required by Florida Administrative Code within 30 days of employment.
The Windsor of Gainesville in Gainesville, Florida
The Windsor of Gainesville is a 111-bed, for-profit facility located at 3605 NW 83rd Street in Gainesville, Florida.
This facility offers both assisted living and memory care services.
Lawsuits Suing The Windsor of Gainesville for Assisted Living Negligence
There are no pending lawsuits versus Windsor of Gainesville alleging negligence.
Deficiencies at The Windsor of Gainesville for Resident Care Violations
June 28th, 2022, Inspection at The Windsor of Gainesville
It was determined during this inspection at The Windsor of Gainesville that the facility was not appropriately prepared for emergencies. Assisted living facilities are required to store an emergency water supply sufficient for their number of residents that will sustain them for three days in the case of an emergency. The emergency water supply that the facility had in storage was not nearly enough to sustain 100 residents for three days.
The Windsor of Ocala in Ocala, Florida
The Windsor of Ocala can be found at 2650 SE 18th Avenue in Ocala, Florida. It is a 94-bed facility with both memory care and assisted living services.
Lawsuits vs. The Windsor of Ocala for Resident Neglect & Injuries
There are no pending lawsuits against the Windsor of Ocala alleging violation of the Residents Rights contained in Chapter 429 of the Florida Statutes.
Deficiencies at The Windsor of Ocala for Resident Care Violations
October 7th, 2020, Inspection at The Windsor of Ocala
This inspection documented that The Windsor of Ocala failed to have a doctor prescribe limited nursing care services to two residents who needed the additional services.
The Windsor of Palm Coast in Palm Coast, Florida
The Windsor of Palm Coast is a 94-bed assisted living and memory care facility in Flagler County.
This for-profit facility can be found at 50 Town Court in Palm Coast, Florida.
Lawsuits Suing The Windsor of Palm Coast for Resident Injury or Wrongful Death
There are no pending lawsuits naming the Windsor of Palm Coast in a Florida assisted living facility neglect lawsuit.
Deficiencies at The Windsor of Palm Coast for Resident Care Violations
November 4th, 2020, Inspection at The Windsor of Palm Coast
During a complaint inspection at the facility in November 2020, investigators found several deficiencies with staffing standards. For example, the facility had failed to ensure that staff members had completed the required training courses on topics such as first aid and food safety. Additionally, the facility failed to obtain background checks on new employees.
The Windsor of Venice in Venice, Florida
The Windsor of Venice is a 94-bed facility found at 1600 Center Road in Venice, Florida.
The Windsor of Venice offers both assisted living and memory care services. It is a for-profit facility.
Prior Lawsuit Against The Windsor of Venice
Wrobel, Theodore A. E/O vs. The Windsor of Venice
Allegations: The estate of Theodore A. Wrobel sued The Windsor of Venice for nursing home negligence. While a resident of the facility, Mr. Wrobel suffered from numerous falls resulting in skin tears, bruises, and a fracture of his C1 vertebrae. Additionally, he developed and suffered from aspiration pneumonia, diarrhea, vomiting, dehydration, and malnutrition. These injuries resulted in hospitalization and the untimely death of Mr. Wrobel.
Deficiencies at The Windsor of Venice for Resident Care Violations
June 21st, 2022, Inspection at The Windsor of Venice
During a complaint inspection at The Windsor of Venice, it was found that staff failed to follow physician’s orders when aiding with self-administration of medication for eleven of the facility’s residents. Several medication errors were found during a review of the facility incident log report and the medication administration record.
February 10th, 2022, Inspection at The Windsor of Venice
According to the Agency for Health Care Administration’s inspection report, staff at The Windsor of Venice failed to follow physician’s orders when administering medication to residents. This resulted in one resident suffering an overdose. The resident was sent to the hospital once the error was realized.
The Windsor of Lakewood Ranch in Lakewood Ranch, Florida
The Windsor of Lakewood Ranch can be found at 8220 Natures Way in Lakewood Ranch, Florida.
It is an 86-bed, for-profit facility offering memory care for residents with dementia, and ordinary assisted living.
Prior Lawsuit Against The Windsor of Lakewood Ranch
Antanaitis, Erna G. vs. The Windsor of Lakewood Ranch
Allegations: A nursing home negligence lawsuit was filed against The Windsor of Lakewood Ranch in December 2021. While a resident at The Windsor of Lakewood Ranch, Erna Antanaitis suffered from multiple falls resulting in a pubic fracture, head abrasion, and rib contusions.
Deficiencies at The Windsor of Lakewood Ranch for Resident Care Violations
January 17th, 2017, Inspection at The Windsor of Lakewood Ranch
This inspection at The Windsor of Lakewood Ranch found that staff had failed to ensure that a medication cart was locked and inaccessible to residents and visitors.
Windsor Reflections in Lakewood Ranch, Florida
Windsor Reflections, located at 8230 Natures Way in Lakewood Ranch, Florida, is a 62-bed memory care facility.
While most Windsor facilities offer assisted living, Windsor Reflections specializes only in memory care. This facility accepts residents with dementia and cognitive decline.
Prior Lawsuits Against Windsor Reflections
Abis, Esther E/O vs. Windsor Reflections
Allegations: Deborah Ila Abis, representing the estate of Esther Abis, filed a lawsuit against Windsor Reflections in May 2019. According to the complaint, during her time at Windsor Reflections, Esther suffered from numerous infections such as urinary tract infections and pneumonia, significant weight loss, skin tears and abrasions, and a bed sore on her coccyx. Additionally, Esther suffered from an incident of physical assault from another resident.
Garbutt, Robert A. E/O vs. Windsor Reflections
Allegations: The estate of Robert Alfred Garbutt, represented by Betty E. Casey, sued Windsor Reflections for nursing home negligence in May 2018. While Mr. Garbutt was a resident at Windsor Reflections, he suffered from multiple falls resulting in skin tears, lacerations, and a head injury. The case’s complaint also alleges that Mr. Garbutt suffered from physical and psychological abuse from staff at the facility.
Deficiencies at Windsor Reflections for Resident Care Violations
March 22nd, 2023, Inspection at Windsor Reflections
A complaint inspection in March 2023 found that staff at Windsor Reflections had failed to accurately update their records when giving residents medications. Review of internal documents revealed that several medications given to residents were not documented in their charts.
Disclaimer
*The above does not mean your loved one would be in harm at this facility. Each facility gets inspected often. Almost all facilities have deficiencies. Many face civil lawsuits. You should not make a facility placement decision based solely on the above information. Each case is different. Prior results do not guarantee a similar outcome or indicate an expected outcome on your particular case. The above prior lawsuit information is for informational purposes only and does not constitute legal advice. The information is not provided in the course of an attorney-client relationship and is not intended to substitute for legal advice from an attorney. This individual case information above is publicly filed information gathered from the publicly filed complaint. This information and these cases are not the work of this law firm. The inspection results are provided from public government agency surveys. The state Department of Health conducts a survey of all nursing home facilities at least once every 15 months. The deficiencies listed on this page may have been corrected after the date of the inspection and date of publishing this material. Citations, ratings and deficiencies are current as of the date of this post and will change later on. The inspection findings published are not complete. You may find the most up to date information at medicare.gov. This material is not endorsed by the facility or by any governmental agency. Speak with an attorney immediately if you believe you have a viable case against a nursing home, assisted living facility or medical facility.
