The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Windsor Skilled Nursing and Rehabilitation Center
Registered name: Windsor Nursing & Retirement Home
SOUTH YARMOUTH, MA · Medicare-certified · 120 beds
In good standing
Non-profitChain member
Data as of July 1, 2026
2 of 5 overall
Windsor Skilled Nursing and Rehabilitation Center in South Yarmouth, MA has an overall rating of 2 out of 5 stars. Its staffing rating is 4 stars, but quality measures are low at 1 star and reported nurse staffing is 3.91 hours per resident per day, slightly below the federal benchmark of 4.1; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9056 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9056.
Staffing detail
- Registered nurses
- 0.63
- Licensed practical nurses
- 0.86
- Nurse aides
- 2.42
- Weekend nursing
- 3.34
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 27%
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
15.1%22.4%Worsening
Residents with a fall causing major injury
2.6%6.5%Worsening
Residents with pressure ulcers (bedsores)
5.7%4.4%Improving
Residents with a urinary tract infection
2.6%1.4%Improving
Residents who lost too much weight
9.3%6.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20.6%29.7%Worsening
Residents whose ability to walk got worse
16.4%15.6%Improving
Long-stay residents on antianxiety or sleep medication
18.4%21.7%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0.9%Worsening
Residents with new or worsening incontinence
12.7%12.3%No change
Residents with depressive symptoms
31.5%18.8%Improving
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
—80.7%—
Long-stay residents given the pneumonia vaccine
97.4%96.1%Worsening
Short-stay residents given the seasonal flu vaccine
—80.4%—
Short-stay residents given the pneumonia vaccine
90%87.4%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure its staff were properly licensed, certified, or registered as required by state law. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 839 — 42 CFR §483.70 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to make sure a resident could get needed vision and hearing services. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 685 — 42 CFR §483.25 — 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 6 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $12,386 in total fines.
- $12,386
Federal fine
Oct 12, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of INTEGRITUS HEALTHCARE · 15 homes · 2.9 stars avg
- Occupancy
- 88.6 residents on an average day (74% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.