In December 2024, Canfield resident Judy Marsh was discharged from the hospital after a bout of pneumonia and admitted to Windsor House at Canfield for rehabilitation. 

"My mom went to the Windsor House for two weeks of rehab so that she could go home and live her life ... I would never have believed she would never come home again," said Christine Oliver, Marsh's daughter, in an interview with 21 News. 

Windsor House now faces a lawsuit alleging medical negligence and wrongful death, after Marsh passed away in April 2025. According to records cited in the lawsuit, Marsh's legal cause of death was sepsis due to infected pressure wounds. 

In court filings, Windsor House has denied the allegations of inadequate care. 21 News made multiple attempts to reach the nursing home and its attorneys for comment Monday morning. Late in the day, the attorneys responded to say they could not comment on the lawsuit, citing a gag order granted Monday afternoon. The interview with Oliver was conducted before the gag order was issued. 

Oliver told 21 News her mother lived with Multiple Sclerosis and used a wheelchair. This also meant Marsh could not turn over on her own, putting her at increased risk for pressure injuries. 

The lawsuit claims nursing home staff were supposed to reposition Marsh every two hours, but failed to provide that care, sometimes for days at a time, leading to pressure wounds in her buttocks. At the same time, the staff allegedly "often left Judy in soiled linens and adult diapers for extended periods of time without cleaning her up." 

Oliver said within about a week of Marsh checking in to Windsor House, she was complaining that staff were not turning her properly. Oliver would repeatedly call and visit to check in on her mother, but said her demands for better care went unanswered. 

"I would hear, 'Well, we're short staffed,' or, 'I only have one other person working,' you know, 'We're doing med passes,'" Oliver said.

At one point, she learned that her mother had a pressure wound, and noticed a strange smell in her mother's room. But she was allegedly told that the wound was healing, and the smell was just from medicine under her bandages. 

"As a human being, you're going to believe that people are taking care of your loved ones," Oliver said. "You're not going to think that they're not being truthful, and you're going to go tear off her bandages or something like that. You're going to think that what they're telling you is true."

A later visit to the hospital revealed that the wounds had deepened. Photographs show how Marsh's injuries tunneled into her pelvis, exposing her muscle and bone. The lawsuit states that her bones had become infected with multiple bacteria, including E. coli, which is found in human feces. 

21 News is not publishing the images in this article due to their graphic nature, but they can be found in the complaint filed by Marsh's estate. Viewer discretion is advised. 

Marsh's condition deteriorated. According to Oliver, she suffered a stroke, underwent debridement surgery, had a feeding tube installed and then later removed because she was at risk of drowning on her own fluids. Oliver was sitting with her mother when she took her final breaths. 

"Knowing what I know now in hindsight, if someone tells you that something is getting better, or before that even happens to them, check the skin of your loved ones," Oliver told 21 News. "Look at them from head to toe, make sure that they're not getting any pressure ulcers. ... Don't just listen to what people are telling you."