Windsor Nursing & Retirement Home
265 N Main St, South Yarmouth, MA 02664
Windsor Nursing & Retirement Home, a 120-bed non profit - corporation nursing facility in South Yarmouth, MA, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #231 of 338 rated homes in MA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 5083943514
Build a private shortlist as you compare, saved on this device, no account needed.
Subscribe to CMS updates for this home (RSS) for inspection findings and Care Compare snapshot refreshes, no email.
- 2 / 5
- Below average · CMS overall · nat'l 3.0
- #231 of 338
- In-state rank among rated MA homes
- 3.91
- About average · nurse hrs/day · nat'l 3.86
- 24
- Inspection findings · 1 serious
The verdict
Windsor Nursing & Retirement Home, a 120-bed non profit - corporation nursing facility in South Yarmouth, MA, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #231 of 338 rated homes in MA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 2 / 5
- CMS overall · national 3.0
- #231 of 338
- In-state rank among rated MA homes
- 3.91
- Nurse hrs/resident-day · national 3.86
- 24
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 341 MA nursing homes split by ownership sector
This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 225349
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 120
- Residents
- 89
- In Hospital
- No
- County
- Barnstable
- Last Inspection
- Mar 19, 2026
Staffing Data
How the 3.91 total nursing hours per resident-day are staffed:
- RN Hours
- 0.63 (nat'l avg: 0.69)
- LPN Hours
- 0.86
- CNA Hours
- 2.42
- Total Nursing Hours
- 3.91 (nat'l avg: 3.86)
- PT Hours
- 0.11
- Nursing Turnover
- 37.7%
- RN Turnover
- 26.7%
What the CMS Record Reveals About Windsor Nursing & Retirement Home
According to CMS Nursing Home Compare, Windsor Nursing & Retirement Home ranks #231 of 338 rated nursing homes in MA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Windsor Nursing & Retirement Home operates 120 certified beds in South Yarmouth, MA with approximately 89 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 3★ · staffing 4★ · quality 1★).
The inspection file contains 24 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $12K against this provider. Staffing is reported at 3.91 total nursing hours per resident day (national average 3.86), with RN coverage at 0.63 per resident day.
Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Windsor Nursing & Retirement Home falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 37.7% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (24 most recent)
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category: Resident Rights Deficiencies
Corrected: Apr 28, 2026
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Category: Infection Control Deficiencies
Corrected: Apr 28, 2026
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 28, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 28, 2026
Employ staff that are licensed, certified, or registered in accordance with state laws.
Category: Administration Deficiencies
Corrected: Apr 28, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 28, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 19, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 19, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Category: Resident Rights Deficiencies
Corrected: Feb 19, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 19, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Feb 19, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Category: Pharmacy Service Deficiencies
Corrected: Feb 19, 2025
Assist a resident in gaining access to vision and hearing services.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 19, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Category: Resident Rights Deficiencies
Corrected: Feb 19, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Category: Resident Rights Deficiencies
Corrected: Nov 22, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category: Resident Rights Deficiencies
Corrected: Nov 22, 2023
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Category: Administration Deficiencies
Corrected: Nov 22, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 22, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 22, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 22, 2023
Assist a resident in gaining access to vision and hearing services.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 22, 2023
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Category: Resident Rights Deficiencies
Corrected: Nov 22, 2023
Honor the resident's right to organize and participate in resident/family groups in the facility.
Category: Resident Rights Deficiencies
Corrected: Nov 22, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 22, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.9% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.0% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.8% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 7.1% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 27.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 96.2% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 19.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 80.7% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 13.6% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 87.5% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 80.4% | No |
Penalty History 1 penalties totaling $12K
| Date | Type | Amount |
|---|---|---|
| Oct 12, 2023 | Fine | $12K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Windsor Nursing & Retirement Home, both outside MA so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside MA (120 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside MA (3.78 here).
Nearby Nursing Homes in MA
340 other nursing homes are on record in MA; 6 are shown here.
Abbott Skilled Nursing & Rehabilitation Center
Lynn, MA
Aberjona Rehabilitation and Nursing Center
Winchester, MA
Adviniacare at Northbridge
Northbridge, MA
Adviniacare at Provincetown
Provincetown, MA
Adviniacare Newburyport
Newburyport, MA
Adviniacare Newton Wellesley
Wellesley, MA
Understanding Nursing Home Data
What the CMS records show for Windsor Nursing & Retirement Home
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The MA registry aggregates state averages and the highest-rated homes in this cohort. View MA registry
- Peer homes near 120 beds show how CMS stars vary at a similar scale in MA. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Windsor Nursing & Retirement Home?
Where does Windsor Nursing & Retirement Home rank among nursing homes in MA?
What are the staffing levels at Windsor Nursing & Retirement Home?
How many beds does Windsor Nursing & Retirement Home have?
Does Windsor Nursing & Retirement Home have any deficiencies on record?
Has Windsor Nursing & Retirement Home received any fines or penalties?
Who owns Windsor Nursing & Retirement Home?
When was Windsor Nursing & Retirement Home last inspected?
What quality measures are tracked for Windsor Nursing & Retirement Home?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
