The nursing home failed to ensure residents were free from significant medication errors. Cited November 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
Windsor Rehabilitation and Healthcare Center
Windsor, NC · Medicare-certified · 82 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
Windsor Rehabilitation and Healthcare Center in Windsor, NC has a 1 out of 5 overall star rating, with 1-star health inspection and staffing ratings and 2 stars for quality measures. Reported nurse staffing is 3.10 hours per resident day versus the 4.1 federal benchmark, and the facility has had $249,991 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.1029 hrs/resident/day
Quality measures
Last inspection: January 13, 2026Penalties, last 24 months: $249,991recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1029.
Staffing detail
- Registered nurses
- 0.46
- Licensed practical nurses
- 0.82
- Nurse aides
- 1.81
- Weekend nursing
- 2.67
Hours per resident per day.
Total staff turnover: 79%
Registered nurse turnover: 77%
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
23.3%29.5%Worsening
Residents with a fall causing major injury
6.3%1.8%Improving
Residents with pressure ulcers (bedsores)
11.4%10.5%Improving
Residents with a urinary tract infection
3.4%0%Improving
Residents who lost too much weight
16.9%17%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
33.3%6.7%Improving
Residents whose ability to walk got worse
—30.3%—
Long-stay residents on antianxiety or sleep medication
15.9%32.7%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
23.9%20.7%Improving
Residents with depressive symptoms
0%2%Worsening
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
—98.5%—
Long-stay residents given the pneumonia vaccine
98.4%94.7%Worsening
Short-stay residents given the seasonal flu vaccine
—81.9%—
Short-stay residents given the pneumonia vaccine
86.4%53.3%Worsening
What the inspectors found
The home failed to provide timely, quality lab services and tests needed by residents. Cited November 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 770 — 42 CFR §483.50 — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $70,220 was recorded.
- PENALTY
A federal fine of $179,771 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $249,991 in total fines · 1 payment denial.
- 17 days
Medicare/Medicaid payment denial
May 6, 2025
- $70,220
Federal fine
May 6, 2025
- $179,771
Federal fine
Oct 15, 2024
Operator & ownership
Recent ownership change · Jan 1, 2023
Now operated by Windsor Rehabilitation and Healthcare Center, previously Brian Center Health & Rehabilitation/windsor.
- Ownership
- For profit - Corporation
- Chain
- Part of SIMCHA HYMAN & NAFTALI ZANZIPER · 84 homes · 2.5 stars avg
- Occupancy
- 66.2 residents on an average day (81% of 82 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 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.