The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
Nursing home report
Windsor Grove Health and Rehabilitation
WINDSOR, VA · Medicare-certified · 114 beds
In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Windsor Grove Health and Rehabilitation has an overall rating of 2 out of 5 stars, with 2-star health inspection and staffing ratings and a 4-star quality measures rating. Reported nurse staffing is 2.71 hours per resident per day versus the 4.1-hour federal benchmark, and there were $0 in fines in the last 24 months; recent citations included staffing, supervision/training, and medication error concerns.
Facility ratings
Health inspections
Staffing
2.7051 hrs/resident/day
Quality measures
Last inspection: May 1, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7051.
Staffing detail
- Registered nurses
- 0.37
- Licensed practical nurses
- 0.79
- Nurse aides
- 1.55
- Weekend nursing
- 2.20
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 56%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
14.5%23.9%Worsening
Residents with a fall causing major injury
4.1%3.1%Improving
Residents with pressure ulcers (bedsores)
3.4%2.5%Improving
Residents with a urinary tract infection
0%1.1%Worsening
Residents who lost too much weight
3.6%14.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.1%18.4%Worsening
Residents whose ability to walk got worse
5.1%13%Worsening
Long-stay residents on antianxiety or sleep medication
34.1%27.7%Improving
Short-stay residents newly given an antipsychotic
0%1.8%Worsening
Residents with a long-term catheter
0%0.8%Worsening
Residents with new or worsening incontinence
33.8%24.3%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—92.2%—
Long-stay residents given the pneumonia vaccine
75.3%54.1%Worsening
Short-stay residents given the seasonal flu vaccine
—49.2%—
Short-stay residents given the pneumonia vaccine
57.4%42.2%Worsening
What the inspectors found
The home failed to properly watch nurse aides' work and provide regular training. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 730 — 42 CFR §483.35(e)(7) — S/S: E
The nursing home failed to ensure residents were free from significant medication errors. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: E
The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 919 — 42 CFR §483.90 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 20 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Jun 1, 2025
Now operated by Windsor Grove Health and Rehabilitation, previously Consulate Health Care of Windsor.
- Ownership
- For profit - Corporation
- Chain
- Part of AVARDIS HEALTH · 38 homes · 2 stars avg
- Occupancy
- 107.2 residents on an average day (94% of 114 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 26 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.