Windsor Health And Rehabilitation

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

Met the expected recovery: 43.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 23 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.27 therapist hours per resident per day in 2026Q1 — more than 41% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% 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 100 beds and averages 47.7 residents a day — about 48% occupied, or roughly 52 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 5.07 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.39 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.54 is at or above 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 4.51 hrs/resident/day on weekends vs 5.30 on weekdays — 15% thinner on weekends. RN hours go from 0.39 to 0.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%. 1 administrator has left in the past year.

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.

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

• Potential for harm · D2026-03-17 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  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 it was determined the facility failed to ensure the call light was accessible for 1 of 3 sampled residents (#10) reviewed for accommodation of needs. This placed residents at risk for the inability to call for assistance. Findings include:Resident 10 was admitted to the facility on [DATE] with diagnoses including congestive heart failure (chronic condition where the heart is unable to pump blood effectively, leading to fluid buildup in the lungs and other body parts) and weakness.A review of Resident 10's 2/27/26 admission MDS revealed she/he was cognitively intact.A 2/26/26 Facility Reported Incident (FRI) reported Resident 10 received a bed bathe on 2/23/26 on the evening and the call light was not accessible to the resident until the next morning. Resident 10 reported no one checked in on her/him throughout the night and the resident needed to use the toilet.On 3/17/26 at 10:08 AM Staff 6 (CNA) stated she checked on Resident 10 on 2/24/26 at approximately 7:40 AM and…

  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 · D2026-03-17 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  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 it was determined the facility failed to provide pain medication as ordered for 1 of 3 sampled residents (#7) reviewed for pain management. This placed residents at risk for worsening discomfort. Findings include:Resident 7 admitted to the facility in 10/2025 with diagnoses including right tibia and fibula fracture with an external fixator (device to stabilize fracture from the outside using pins, clamps and rods) and diabetes.The 10/23/25 physician order indicated Resident 7 was to receive oxycodone 5 MG every four hours as needed for pain.On 10/27/25 a public complaint was received by the State Agency which alleged the facility ran out of Resident 7's pain medication on 10/25/25 and Resident 7 had requested pain medication prior to a physical therapy session on 10/27/25.The 10/29/25 admission MDS Pain CAA revealed to administer pain interventions per provider orders.A review of the 10/2025 TAR revealed Resident 7 reported a pain level of nine on 10/27/25 at 6:00 AM.A review…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-24 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 it was determined the facility failed to protect the resident's right to be free from neglect by staff for 1 of 3 sampled residents (#103) reviewed for abuse and neglect. This placed residents at risk for abuse. Findings include:Resident 103 was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease (COPD) with acute exacerbation and respiratory failure. The resident was on hospice services.Resident 103's Physician Order dated 11/4/25 included to administer morphine sulfate 0.25 ml by mouth every hour as needed for shortness of breath and/or moderate to severe pain.On 11/5/25 at 4:57 AM, Resident 103's Progress Note indicated the resident had a period of COPD exacerbation, was groaning, had difficulty breathing and was complaining of being thirsty.On 11/5/25 at 6:29 PM, Resident 103's Progress Note indicated the resident was having difficulty swallowing and all tablet medication would be held. The resident was distressed, had rapid…

  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
• Potential for harm · D2026-02-24 · tag F0603 — failed to not confine residents against their will — isolated
  Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review it was determined the facility failed to ensure the resident was free from involuntary seclusion by staff for 1 of 3 sampled residents (# 104) reviewed for involuntary seclusion. This placed residents at risk for mistreatment. Findings include:Resident 104 was admitted to the facility in 2025 with diagnoses including hip fracture and dementia. Resident 104's 12/2025 Care Plan did not include interventions to keep the resident at the nurse's station all night to prevent falling. On 12/12/25, the State Survey Agency received a call from Witness 1 (Former Staff). Witness 1 stated on 12/6/25 she was notified that Staff 6 (LPN) forced Resident 104 to stay up in her/his wheelchair most of the night on 12/5/25. The resident was kept at the nurse's station up until around 2:00-2:30 AM when staff provided the resident with incontinence care. Staff refused to get the resident back out of bed because Resident 104 made multiple requests to go to bed and the resident did not usually stay up at night. Staff 6 got Resident 104 back up and took the 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-24 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 it was determined the facility failed to ensure allegations of abuse or neglect were reported timely for 2 of 3 sampled residents (#s 103 and 104) reviewed for abuse reporting. This placed residents at risk for continued abuse and neglect. Findings include:1. Resident 103 was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease (COPD) with acute exacerbation and respiratory failure.Resident 103's Physician Order dated 11/4/25 included to administer morphine sulfate 0.25 ml dose by mouth every hour as needed for shortness of breath and/or moderate to severe pain.On 12/12/25, the State Survey Agency received a public complaint by Witness 1 (Former Staff), which reported on 11/6/25 Staff 7 (LPN) was assigned to Resident 103's care and had refused to administer the resident's ordered pain medication even when staff members were reporting the resident was exhibiting screaming, shortness of breath, and very anxious behaviors. Witness 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-24 · 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 it was determined the facility failed to thoroughly investigate allegations of potential abuse and neglect for 2 of 3 sampled residents (#103 and 104) reviewed for abuse investigations. This placed residents at risk for continued abuse and neglect. Findings include:1. Resident 103 was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease (COPD) with acute exacerbation and respiratory failure.On 12/12/25, the State Survey Agency received a public complaint by Witness 1 (Former Staff), which reported on 11/6/25 Staff 7 (LPN) was assigned to Resident 103's care and had refused to administer the resident's ordered pain medication even when staff members were reporting the resident was exhibiting screaming, shortness of breath, and very anxious behaviors. Witness 1 stated she was not told about the incident when it occurred, so she was not able to investigate the incident. Witness 1 stated Staff 1 (Administrator) was aware of the…

  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
• Potential for harm · Dcited before2025-07-03 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined the facility failed to follow physician orders for 2 of 3 sampled residents (#s 10 and 11) reviewed for physician orders. This placed residents at risk for a delay in treatment and adverse medication side effects. Findings include: 1. Resident 10 admitted to the facility in 2/2017, with diagnoses including peripheral vascular disease. Resident 10's 9/10/24 Physician Order revealed an order for a right hand x-ray. Resident 10's 10/8/24 Physician Assistant Encounter Note indicated her/his 9/10/24 x-ray was negative for a fracture. Resident 10 continued to have pain and limited range of motion. Repeat x-rays were ordered on 9/18/24 and 9/24/24, but were not completed. Resident 10's 10/10/24 Hospital Records revealed a right wrist fracture. On 7/2/25 at 9:50 AM, Staff 1 (Resident Care Manager) acknowledged the facility did not obtain Resident 10's right hand x-ray per physician orders on 9/8/24 and 9/24/24. 2. Resident 11 admitted to the facility in 9/2024, with diagnoses including kidney failure. Resident 11's 9/29/24 Physician…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-03-14 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, interview and record review it was determined the facility failed to ensure kitchen staff wore appropriate hair restraints during meal preparation for 1 of 1 facility kitchen reviewed for sanitation. This placed residents at risk for unsanitary foods. Findings include Review of the US FDA Food Code 2022 revealed: -food employees shall wear hair restraints such as hats, hair coverings or nets, beard restraints, and clothing that covers body hair, that are designed and worn to effectively keep their hair from contacting exposed food. On 3/12/25 at 11:43 AM Staff 18 (Cook) was observed plating meals without wearing a hair restraint. Staff 4 (Dietary Manager) was asked what the expectation was for hair restraints during tray line meal service and she stated Staff 18's hair was less than a half inch so there was no requirement to wear a hair restraint. The facility policy for hair restraints was requested. On 3/12/25 at 1:41 PM Staff 4 stated she reviewed food code and confirmed staff with hair of any length were to have a hair restraint in place.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-14 · tag F0730 — pattern
  Observe each nurse aide's job performance and give regular training.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review it was determined the facility failed to ensure CNA staff annual performance reviews were completed for 2 of 5 sampled CNA staff (#s 9 and 12) reviewed for sufficient and competent nurse staffing. This placed residents at risk for a lack of competent staff. Findings include: A review of personnel records on 3/14/25 indicated the following employees had not received their annual performance evaluations: -Staff 9 (CNA), hired dated was 12/5/22 and the last performance review was completed on 1/10/24. -Staff 12 (CNA), hired date was 5/26/16 and the last performance review was completed on 6/8/23. On 3/14/25 at 10:23 AM PM Staff 2 (Director of Nursing) confirmed annual performance reviews were not completed for Staff 9 and Staff 12.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-14 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 it was determined the facility failed to include residents in the developient of the comprehensive care plan for 3 of 4 sampled residents (#s 15, 32, and 42) reviewed for care planning. This placed resident at risk for lack of a comprehensive care plan. Findings include: 1. Resident 15 was admitted to the facility on [DATE] with diagnoses including diabetes. A review of Resident 15's medical record revealed there was a care conference completed with Resident 15 on 1/31/25. On 3/10/25 at 9:48 AM Resident 15 stated no one discussed medication or treatment changes with her/him and she/he did not have a care planning meeting. On 3/12/25 at 10:10 AM Staff 16 (Interim Social Services) stated she completed a 72 hour care meeting with residents on admission, but the facility did not do a care planning meeting with residents after the initial comprehensive MDS was completed. On 3/14/25 at 9:25 AM Staff 17 (Interim MDS Coordinator) stated she assisted in development of the…

  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

“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

$20,910 in federal fines across 1 penalty.

• $20,910 — penalty dated 2026-07-13

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to EVERGREEN HEALTHCARE GROUP — 44 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

CMS files one row per role, so the 36 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

9 organizational owners 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.

About 70% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $102K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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 OR