98.5/ 100
WINDSOR RUN, LLC
1807 WINDSOR RUN LN, Matthews, NC 28105
Rest/Nursing Homes · NC permit/State ID 2060400170
Latest result98.5 / 100
Last inspectedAug 24, 2026
Inspections on record11
On record sinceSep 22, 2021
Score history
Sep 22, 2021Higher is betterAug 24, 2026
Inspections & violations
Aug 24, 2026 98.5 / 100 · 1 violation
#16 · Hot water between 105°F and 116°F −1.5
.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities.
Observed hot water at 120F in rooms 112 and 120. Observed hot water at 122F in room 129. Needs to be 105-116F.
Feb 9, 2026 99 / 100 · 2 violations
#2 · Walls and ceilings clean, good repair
NO POINTS DEDUCTED
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed walls scuffed inside 136 A in need of touch-up painting; 129 door face was scuffed in need of touch up painting.
#30 · Medication carts clean; sharps containers attached; food, utensils, medication and medication dispensers properly handled −1
.1318 (a) Sharps containers located on medication carts shall be attached or secured to the medication cart to prevent the sharps contained from spilling.
Observed sharps containers not attached to mobile med stand during inspection; sharps containers were stored loose in container.
Aug 19, 2025 100 / 100 · 0 violations
Inspector comments: No violations noted.
No violations were recorded for this inspection.
Mar 6, 2025 99.5 / 100 · 2 violations
Inspector comments: *NOTE: Administrator, Chris Fitzgibbons, was present during time of inspection. Report emailed to:
CHRIS.FITZGIBBONS@ERICKSON.COM
#2 · Walls and ceilings clean, good repair
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed minor touch up paint needed to baseboards sporadically throughout building due to scuff markings. -General comment.
#9 · Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected −0.5
.1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident. Observed 1 disposable urinal not labeled in room 117.
Aug 21, 2024 100 / 100 · 1 violation
Inspector comments: *NOTE: EHS Hunter DeLaO was lead inspection. Report emailed to administrator at the following:
CHRIS.FITZGIBBONS@ERICKSON.COM
#7 · Facilities provided, accessible, clean, good repair
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed loose toilet seat in room 119. Observed general cleaning needed to toilet seat in room128.
Feb 7, 2024 99.5 / 100 · 3 violations
Inspector comments: *NOTE: Director, Chris Fitzgibbons, Director of Nursing, Shinina Campbell, and EHS Casey Aitcheson were present during time of inspection. Report emailed to the following:
CHRIS.FITZGIBBONS@ERICKSON.COM
Shinina.campbell@erickson.com
#7 · Facilities provided, accessible, clean, good repair
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed toilet and shower flooring in room 126 in need of cleaning.
#8 · Toilet rooms free of storage, handwash signs posted
.1312 (b) A sign shall be posted in each toilet room for institution employees, directing them to wash their hands after each visit to the toilet room and before returning to work. Observed a “how to wash” handwashing sign posted in employee restroom. The sign should direct employee employees to wash their hands after each visit to the toilet and before returning to work according to notated rule.
#9 · Bedpans, urinals, bedside commodes and emesis basins properly cleaned and disinfected −0.5
.1312 (c) When disposable bedpans, emesis basins, and urinals are reused, they shall be labeled so that they are associated with an individual resident. Observed urinal not labeled in room 114.
Aug 2, 2023 98 / 100 · 4 violations
Inspector comments: *NOTE: Executive administrator, Chris Fitzgibbons, was present during time of inspection. Report emailed to the following:
CHRIS.FITZGIBBONS@ERICKSON.COM
#2 · Walls and ceilings clean, good repair −1
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed doorframe in need of repair located at entrance door into bathroom in room 119. (REPEAT VIOLATION).
#7 · Facilities provided, accessible, clean, good repair
.1312 (a) All institutions shall provide toilet, handwashing, and bathing facilities that are available for use by residents and staff. These facilities shall be kept clean and in good repair. Observed build up under removable toilet seat in room 113.
#33 · Bed linens in good repair; soiled linens changed, properly handled, containers properly labeled
.1319 (b) A resident's bed linens shall be changed when no longer clean. Observed staining on pillowcases in room 113.
#52 · Vomitus and diarrheal clean up supplies; written clean up procedures available and complete −1
.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. Observed no diarrheal/vomit procedure plan, EHS emailed facility template for required plan. (REPEAT VIOLATION).
Feb 6, 2023 98.5 / 100 · 6 violations
#2 · Walls and ceilings clean, good repair
.1310 (a) The interior walls of the institution, including doors, windows and window trim, and ceilings, shall be kept clean and in good repair. Observed bubbled ceiling in hall bathroom
#16 · Hot water between 105°F and 116°F
.1313 (d) Institutions shall provide water heating facilities. Hot and cold running water under pressure shall be provided to carry out all operations. Hot water shall be provided at temperatures between 105 degrees Fahrenheit and 116 degrees Fahrenheit at handwashing and bathing facilities. Observed hot water throughout facility 100-108F. New rule change is 105-116F. Bump up water temps to minimum of 105F. Hot water at family kitchen 100 to 95F, staff says faucet to get replaced.
#23 · Solid waste containers properly constructed, covered where required; good repair
.1316 (a) All solid wastes containing food scraps or other putrescible materials shall be kept in leak-proof, non-absorbent containers which shall be kept covered with tight-fitting lids when not in use. Observed dumpster doors open.
#32 · Furnishings clean and in good repair; mattresses dry, clean, good repair
.1319 (a) Furnishings in an institution, including furniture, curtains, rugs, and blinds, shall be kept clean and in good repair. Mattresses shall be kept clean, dry, and in good repair. Observed some debris under couch/chair cushions.
#42 · Food and food supplies from approved sources; properly stored and handled −1.5
.1321 (a) All food and food supplies provided by an institution for consumption by residents shall be from approved sources, stored, and handled as set forth in 15A NCAC 18A .2600. Observed apples in grab n go basket in family dining area not individually wrapped.
#52 · Vomitus and diarrheal clean up supplies; written clean up procedures available and complete
.1324 (d) The institution shall have gloves, personal protective equipment, disinfectant, individual disposable towels, and a coagulating agent on-site for employees to use and a written procedure for employees to follow when responding to vomitus or fecal matter on institution surfaces. The procedure shall specify the actions that employees shall take to minimize the exposure of employees, residents, guests, food, and additional surfaces to vomitus or fecal matter. Observed no diarrheal and vomiting clean up plan. Need kit with above items and plan on how to clean.
Sep 22, 2022 97.5 / 100 · 3 violations
Inspector comments: #34-Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). Observed linens and non-linens stored together in 1 hall closet.
#8 · Facilities conveniently located, clean and in good repair −1
Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). Observed underside of toilet seat, riser above and under visibly soiled, room 128. Recaulk around toilet, activities bathroom.
Keep all handwashing facilities clean and in good repair. 15A NCAC 18A .1312 (b). Observed sink not functioning in wine storage alcove.
#28 · Adequate storage, area clean, items properly stored −0.5
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed cardboard boxes stored on floor in some storage rooms. No point escalation due to improvement.
#33 · Linen changed when soiled. Soiled linen handled properly −1
Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b). Observed blue bags used for soiled linens not labeled as “soiled linens”.
Jun 15, 2022 98.5 / 100 · 2 violations
Inspector comments: #1. Floors shall be free of obstacles to cleaning. 15A NCAC 18A .1309 (a). Caulk/seal base of can wash to floor in janitor closet. Enclose base of can wash near floor in janitor closet.(all halls)
#3. Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. Continue to touch-up paint/repaint throughout where needed. Wipe/clean scuff marks from wall.
#32. Observed damaged foot board on (1) resident bed. Inform family member and have them to replace damaged footboard on resident bed.All furniture, bed springs, mattresses, sleeping mats, draperies, curtains, shades, venetian blinds, or other furnishings in institutions shall be kept clean and in good repair. 15A NCAC 18A .1319 (a).
#33. Soiled linen shall be placed in a covered container or bag at the point of use and stored and handled so as to contain and minimize aerosolization of and exposure to any waste products. 15A NCAC 18A .1319 (b). Observed soiled linen stored in uncovered large linen bin. Either bag soil linen and place in large soiled linen bin or provide a cover to cover the large soiled linen bin.
#36. Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c). Defrost and clean freezer section of refrigeration units.
#16 · Quantitiy and hot water sufficient, backup water supply plan −1
Observed an incomplete backup water supply plan. Provide a written plan that meets all parts of 15A NCAC 18A .1313 (f).
#28 · Adequate storage, area clean, items properly stored −0.5
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed several boxes of patient care items stored on the floor in several storage area. Provide additional shelving to store items on. Administrator stated additional shelving has been order (reasoning why points where not escalated)
Sep 22, 2021 98 / 100 · 2 violations
Inspector comments: #17-Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). Observed water fountain in PT needs regulating. Water pressure too high.
#42-All potentially hazardous food products shall be maintained at 45°F, or below, or 140°F or above except during necessary periods of preparation and serving. 15A NCAC 18A .1323 (a). Observed refrigerator in nourishment room at 66F. OJ temped at 65F Door was not shut completely. If it doesn't maintain TCS foods 45F or below adjust temperature, if that doesn't maintain temps then replace. CDI-OJ voluntarily discarded
Sending prototype of back-up water plan to ED, return to me for approval.
No pets yet. Keep rabies vaccinations on file
#12 · Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device −1.5
Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). Observed no soap and/or paper towels throughout.
#28 · Adequate storage, area clean, items properly stored −0.5
All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). Observed bottled water and diaper stored on floor in storage rooms.
Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “WINDSOR RUN, LLC” or State ID 2060400170). Inspection type (routine vs. follow-up) is not published in the county's data.