Windsor Rehabilitation & Health Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.02 therapist hours per resident per day in 2026Q1 — more than 1% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 60 beds and averages 30.6 residents a day — about 51% occupied, or roughly 29 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.44 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.41 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.30 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.95 hrs/resident/day on weekends vs 3.64 on weekdays — 19% thinner on weekends. RN hours go from 0.41 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · E2025-06-25 · tag F0567 — failed to protect residents' money held by the home — pattern
  Honor the resident's right to manage his or her financial affairs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, facility staff failed to ensure three residents (Resident #6, #21, and #90) had access to their trust fund account which included evenings and weekends. The facility census was 37. 1. Review of the policies provided showed staff did not provide a policy for the availability of funds. Review of the facility's admission Packet, undated, showed in the personal property of resident section, upon execution of this agreement the facility shall provide the resident or his/her authorized representative with a copy of a policy discussing the resident's rights regarding his or her own personal funds, which may be kept on deposit in the facility's resident trust account. Review of the facility's policy titled, Resident Rights, showed the resident rights include but are not limited to if resident wishes, have community manage personal funds. 2. Review of Resident #6's Significant Change in Status Assessment (SCSA) Minimum Data Set (MDS), a federally mandated assessment tool, dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-06-25 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, facility staff failed to provide a clean, comfortable and homelike environment when staff failed to maintain resident rooms and common areas in good repair. The facility census was 37. 1. Review of the policies provided showed staff did not provide a policy for environmental concerns. 2. Observation on 06/23/25 at 10:55 A.M., showed resident occupied room [ROOM NUMBER], bed two, with a white stain to the top of the nightstand and the fall mat next to the bed with build up of brown debris. 3. Observation on 06/23/25 at 11:05 A.M., showed resident occupied room [ROOM NUMBER] floor sticky. Observation on 06/23/25 at 2:00 P.M., showed the resident room floor sticky. 4. Observation on 06/23/25 at 1:45 P.M., showed resident occupied room [ROOM NUMBER] with linens and trash on the floor, a strong odor and multiple flies. During an interview on 06/23/25 at 1:45 P.M., the resident said the flies bother him/her. 5. Observation on 06/23/25 at 1:58 P.M., showed resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-06-25 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, facility staff failed to develop a comprehensive person-centered care plan to meet the medical, nursing, mental and psychosocial needs for four residents (Resident #9, #18, #21 and #27) out of sixteen sampled residents. The facility census was 37. 1. Review of the facility's policy titled Care Planning, dated December 2014, showed every resident will be assessed using the Minimum Data Set (MDS), a federally mandated assessment tool, according to the guidelines set forth in the Resident Assessment Instrument (RAI) manual. Staff are directed to use this assessment data to develop a comprehensive plan of care for each resident that will assist a resident in achieving and maintaining the highest practical level of mental functioning and well being as possible. 2. Review of Resident #9's Quarterly MDS, dated [DATE], showed staff assessed the resident as cognitively intact with a diagnosis of Post Traumatic Stress Syndrome (PTSD) (a disorder in which a person has…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-06-25 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, facility staff failed to serve food items to residents in accordance with the nutritionally calculated recipes. The facility census was 37. 1. Review of the facility's policy titled Pureed Food Preparation, dated 2016, showed pureed food will be prepared using standardized recipes to ensure maximum nutritive value. Serve with appropriate scoop number or divide equally to provide an equal number of portions. All of the pureed food must be used in order to deliver the correct nutrient density to each resident. The number of pureed servings obtained from the pureed recipe must equal the number of servings from which started. Review of the facility's Pureed Breaded Pork Chop recipe, dated 2025, showed: -Remove portions needed from regular prepared recipe and place in a sanitized food processor; -Add broth; blend until smooth; -Portion with a #8 scoop. Review of the facility's Pureed [NAME] Beans recipe, dated 2025, showed: -Remove portions needed from regular prepared recipe and place in a washed and sanitized food processor and blend…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-06-25 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, facility staff failed to document the administration or refusal of the pneumococcal (lung inflammation caused by bacteria or viral infection) vaccine for four residents (Resident #1, #6, #7, and #10) out of five sampled residents. The facility census was 37. 1. Review of the facility's Infection Control and Prevention program, dated 2019, showed the program defines and manages appropriate resident health initiatives such as the immunization program (influenza, pneumococcal, etc.). The program is under the direction of the Quality Assessment and Assurance (QAA) committee. The committee functions to review pneumococcal vaccine compliance. Review of the Centers for Disease Control (CDC), Adult Immunization Schedule by Age | Vaccines & Immunizations | CDC, dated 05/29/25, showed vaccines are recommended for those age [AGE] years or older who have: -Not previously received a dose of PCV13, PCV15, PCV20, or PCV21 or whose previous vaccination history is unknown: 1 dose PCV15 or 1…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-25 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, facility staff failed to accurately code the Minimum Data Set (MDS), a federally mandated assessment tool, for three residents (Resident #6, #21, and #32) of six sampled. The facility census was 37. 1. Review of the policies provided by facility staff showed staff did not provide a policy for the completion of MDS assessments. Review of the Resident Assessment Instrument (RAI) manual, used to facilitate accurate and effective resident assessment practices, version 1.19.1, dated October 2024, showed the manual instructed staff to not code antiplatelet medications such as clopidogrel (antiplatelet) or aspirin as an anticoagulant. 2. Review of Resident #6's Significant Change in Status (SCSA) MDS, dated [DATE], showed staff documented the resident received an anticoagulant medication in the look-back period. Review of the resident's Physician Order Sheet (POS), dated June 2025, showed the POS did not contain an order for an anticoagulant. 3. Review of Resident #21's Quarterly…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-25 · tag F0732 — isolated
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, facility staff failed to post the required nurse staffing information with all the required components when the staff failed to document and update the actual hours worked. The facility census was 37. 1. Review of the facility's policy titled Posting Direct Care Daily Staffing, dated December 2024, showed facility staff will post the staffing on a daily basis at the beginning of each shift. The actual hours worked per position, and the total number of hours worked will be posted. Review of the facility's Staff hour posting, dated 06/01/25 through 06/23/25, showed the nurse staff posting did not contain documentation of actual hours worked for the entire 24-hour period for 06/01/25, 06/03/25 through 06/09/25, 06/16/25 through 06/18/25, and 06/20/25 through 06/22/25. Review of the facility's Staff hour posting, dated 06/01/25 through 06/23/25, showed the posting did not contain documentation of actual hours worked for two of three shifts during a 24-hour period for 06/02/25, 06/10/25, 06/12/25, 06/19/25 and 06/23/25. During an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-07-29 · tag F0925 — failed to control pests — widespread
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and records review, the facility failed to implement an effective pest control program to control flies within the facility. The facility census was 34. Review showed the facility did not provide a policy regarding pest control. 1. Review of the pest control company's summary of service, dated 04/24/24, showed the following facility recommendations: -Insect Light 001- Insect light trap is not working properly. Please schedule service to ensure effective flying insect control; -Insect Light 4- Insect light trap is not working properly. Please schedule service to ensure effective flying insect control; -Insect Light 003- Insect light trap is not working properly. Please schedule service to ensure effective flying insect control; -Needs new bulb. Review of the pest control company's summary of service, dated 05/22/24, showed the following facility recommendations: -Insect Light 001- Insect light trap is not working properly. Please schedule service to ensure effective flying insect control; -Insect Light 4- Insect light trap is not working properly.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-07-29 · tag F0728 — failed to protect against nurse-aide misconduct — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to have a system in placed to ensure nurse aides (NA) completed their training, competencies, and testing in a timely manner when four NAs (NA D, NA F, NA G, and NA H) failed to complete a state approved certified nursing assistant (CNA) training program, competency evaluation, and certification test timely and continued to work providing direct care to residents. The facility's census was 34. Review showed the facility did not provide a policy related to training and certification of NAs/CNAs. 1. Review of NA D's personnel file showed the NA hired to work at the facility on 12/28/23 in the nursing department as a NA. During an interview on 07/25/24, at 11:15 A.M., NA D said he/she worked full-time at the facility for approximately six to seven months continuously as a NA. He/she was currently in online CNA class and needed to take his/her last test in class. 2. Review of NA F's personnel file showed the NA hired to work at the facility on 03/02/23 in the nursing department as a NA. During an interview on 07/25/24, at 11:30…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-29 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed thoroughly investigate all allegations of possible misappropriation and failed to take steps protect all residents during an investigation process when staff failed to document a thorough investigation of an allegation of possible misappropriation of resident's (Resident #2) property and when the alleged involved staff members (Nurse Assistant (NA) D, NA F, and NA G) continued to work independently with all residents. The facility census was 34. Review of the facility policy titled, Abuse Policy, undated, showed the following: -It is the policy of this facility that each resident will be free from abuse. Abuse can include verbal, mental, sexual, physical abuse, misappropriation of resident property and exploitation, and corporal punishment or involuntary seclusion; -All employees who have been alleged to commit abuse will be suspended immediately pending investigation; -The facility must have evidence that all alleged violations are thoroughly…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to JAMES & JUDY LINCOLN — 56 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 31% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MO