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
1 of 5 overall
Windsor Rehabilitation and Healthcare Center in Windsor, NC has a 1 out of 5 overall rating, with 1-star health inspection, staffing, and quality ratings. It reports 2.98 nurse staffing hours per resident per day versus the 4.1 federal benchmark, $249,991 in fines over the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
2.9802 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 2.9802.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 0.89
- Nurse aides
- 1.70
- Weekend nursing
- 2.53
Hours per resident per day.
Total staff turnover: 75%
Registered nurse turnover: 77%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
24.2%Worsening
Residents with a fall causing major injury
4.1%Improving
Residents with pressure ulcers (bedsores)
9.6%Improving
Residents with a urinary tract infection
3.4%Improving
Residents who lost too much weight
21.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
24.3%Improving
Residents whose ability to walk got worse
33.7%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
26.4%Worsening
Short-stay residents newly given an antipsychotic
2.5%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
31.2%Improving
Residents with depressive symptoms
0.5%Steady
Long-stay residents given the seasonal flu vaccine
98.5%Steady
Long-stay residents given the pneumonia vaccine
99.2%Worsening
Short-stay residents given the seasonal flu vaccine
81.9%Steady
Short-stay residents given the pneumonia vaccine
74.9%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.
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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
- Ownership
- For profit - Corporation
- Chain
- Part of SIMCHA HYMAN & NAFTALI ZANZIPER · 90 homes · 2.5 stars avg
- Occupancy
- 66.5 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.