MOH to revoke Pasir Panjang nursing home licence over lapses in resident safety, clinical care & infection control

The Ministry of Health (MOH) issued a notice on Jun. 18 to Windsor Convalescent Home stating that it intends to revoke its licence to provide nursing home services.

The move will take effect from Oct. 30, allowing for time to transfer the current residents to other nursing homes, MOH said in a press release.

Windsor Convalescent Home currently operates a 45-bed nursing home service at 369 Pasir Panjang Road.

MOH decided to revoke its licence following an audit it conducted in April 2026, when the ministry found "serious and systemic lapses" in resident safety, clinical and nursing care, and infection control practices.

Inadequate care

The MOH audit revealed that the nursing home failed to conduct appropriate reviews for residents in several aspects including falls, pressure injuries, and weight loss.

It also failed to follow up on or adhere to the residents' care plans.

The home managed the residents' medication poorly, including omitting medications, using expired medications, and having discrepancies in medication quantity, the ministry added.

Basic care was inadequate as well.

MOH said the home neglected residents' fundamental care needs such as basic grooming, did not provide them with appropriate nutrition based on their individual needs, and did not store food ingredients for their meals appropriately, with some ingredients found to be expired.

Inadequate infection control

Additionally, the home did not implement infection prevention and control measures, and did not ensure hygiene and sanitation in housekeeping processes, MOH found.

On top of all that, the home's key office holders also did not exercise clinical governance over the care delivered to residents, and did not provide oversight of the operation and maintenance of the premises.

Further assessment

MOH first notified Windsor Convalescent Home of its intention to revoke the home's licence on May 5.

The ministry gave the home 14 days to submit representations for MOH's consideration, then extended the period to 28 days upon request by the home.

MOH said that after receiving the representations, the ministry carefully considered them along with the findings of the April audit, and ultimately assessed that the home was unable to continue providing nursing home services safely.

Interim care for the residents

Although the home's licence will only officially be revoked from Oct. 30, MOH has deployed an interim care team there to ensure residents are properly cared for before they are transferred to nursing homes of their choice and eligibility.

This is to safeguard their safety and well-being given the serious and systemic lapses found at Windsor Convalescent Home, the ministry explained.

MOH will work closely with the interim team from Vanguard Healthcare to ensure no new residents are admitted before the licence revocation date.

Taking regulatory action

The audit of Windsor Convalescent Home was part of MOH's ongoing audit of selected nursing homes.

The objective is to gauge the homes' compliance with infection and prevention control practices, and basic custodial and nursing care, MOH said.

"MOH will not hesitate to take regulatory actions if licensees and/or key appointment holders are found to have fallen short of regulatory requirements to deliver adequate and appropriate care," it added.

The ministry plans to share the findings of the audits with the sector at a suitable platform.

It will also work with the Agency for Integrated Care (AIC) to enhance support for the sector, including training staff on skills to adhere to the required standards of care.

MOH will continue to monitor all nursing homes to ensure compliance with requirements under the Healthcare Services Act (HCSA).