The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: F
Nursing home report
WINDSOR HEALTHCARE & REHAB CENTER
WINDSOR, MO · Medicare-certified · 60 beds
Needs attention
For-profitChain member
1 of 5 overall
WINDSOR HEALTHCARE & REHAB CENTER in Windsor, MO has an overall rating of 1 out of 5 stars, with 1-star staffing and quality measures and 3-star health inspections. It is flagged for the lowest overall rating, has reported nurse staffing below the federal benchmark (3.30 vs. 4.1 hours per resident day), and had no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.301 hrs/resident/day
Quality measures
Last inspection: June 25, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.301.
Staffing detail
- Registered nurses
- 0.24
- Licensed practical nurses
- 0.93
- Nurse aides
- 2.13
- Weekend nursing
- 2.70
Hours per resident per day.
Total staff turnover: 43%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
41.7%Steady
Residents with a fall causing major injury
0.7%Steady
Residents with pressure ulcers (bedsores)
2.6%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
2.6%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
23.2%Worsening
Residents whose ability to walk got worse
20.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
45.3%Worsening
Short-stay residents newly given an antipsychotic
3.4%Steady
Residents with a long-term catheter
3.4%Improving
Residents with new or worsening incontinence
19.3%Improving
Residents with depressive symptoms
60.2%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
97%Improving
Short-stay residents given the pneumonia vaccine
92.4%Improving
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited December 2023 — widespread issue, potential for harm.
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F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2023 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to honor a resident’s right to manage their own money and financial affairs. Cited June 2025 — limited pattern, potential for harm.
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F-Tag 567 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — 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 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of JAMES & JUDY LINCOLN · 56 homes · 2.4 stars avg
- Occupancy
- 31.8 residents on an average day (53% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 28 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.