PlainNursing
CMS Nursing Home Compare · August 2026

Windsor Rehabilitation and Healthcare Center

1306 South King Street, Windsor, NC 27983

Windsor Rehabilitation and Healthcare Center, a 82-bed for profit - corporation nursing facility in Windsor, NC, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #410 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 inspection findings 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: 2527945146

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1 / 5
Much below average · CMS overall · nat'l 3.0
#410 of 415
In-state rank among rated NC homes
3.10
Well below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 5 serious

The verdict

Windsor Rehabilitation and Healthcare Center, a 82-bed for profit - corporation nursing facility in Windsor, NC, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #410 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#410 of 415
In-state rank among rated NC homes
3.10
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 5 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 419 NC nursing homes split by ownership sector

This facility is recorded as For 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

1/5

Staffing

1/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
345339
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
82
Residents
66
In Hospital
No
County
Bertie
Last Inspection
Jan 13, 2026
Abuse citation on record

Staffing Data

How the 3.10 total nursing hours per resident-day are staffed:

RN Hours
0.46 (nat'l avg: 0.69)
LPN Hours
0.82
CNA Hours
1.81
Total Nursing Hours
3.10 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
79.3%
RN Turnover
76.9%

What the CMS Record Reveals About Windsor Rehabilitation and Healthcare Center

According to CMS Nursing Home Compare, Windsor Rehabilitation and Healthcare Center ranks #410 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Windsor Rehabilitation and Healthcare Center operates 82 certified beds in Windsor, NC with approximately 66 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 1★ · quality 2★).

The inspection file contains 50 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 2 penalties totaling $250K levied against this facility. Per resident day, this facility reports 3.10 total nursing hours (national average 3.86) and 0.46 RN hours.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Windsor Rehabilitation and Healthcare Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 79.3% (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 (50 most recent)

C - Widespread - No harm Jan 13, 2026 Tag: 0576

Ensure residents have reasonable access to and privacy in their use of communication methods.

Category: Resident Rights Deficiencies

Corrected: Feb 2, 2026

D - Isolated - Minimal harm Jan 13, 2026 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Feb 4, 2026

D - Isolated - Minimal harm Jan 13, 2026 Tag: 0761

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 2, 2026

D - Isolated - Minimal harm Jan 13, 2026 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Feb 2, 2026

D - Isolated - Minimal harm Jan 13, 2026 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 4, 2026

D - Isolated - Minimal harm Jan 13, 2026 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 2, 2026

D - Isolated - Minimal harm Jan 13, 2026 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 2, 2026

D - Isolated - Minimal harm Jan 13, 2026 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Feb 2, 2026

D - Isolated - Minimal harm Jan 13, 2026 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Feb 3, 2026

E - Pattern - Minimal harm Jan 13, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 4, 2026

E - Pattern - Minimal harm Jan 13, 2026 Tag: 0842

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 4, 2026

E - Pattern - Minimal harm Jan 13, 2026 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Feb 4, 2026

D - Isolated - Minimal harm Nov 14, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 20, 2025

D - Isolated - Minimal harm Nov 14, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Nov 20, 2025

D - Isolated - Minimal harm May 28, 2025 Tag: 0585

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: Jun 13, 2025

D - Isolated - Minimal harm May 28, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jun 13, 2025

E - Pattern - Minimal harm May 28, 2025 Tag: 0945

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Category: Infection Control Deficiencies

Corrected: Jun 13, 2025

F - Widespread - Minimal harm May 28, 2025 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: Jun 13, 2025

F - Widespread - Minimal harm May 28, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 13, 2025

G - Isolated - Actual harm May 6, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 28, 2025

G - Isolated - Actual harm May 6, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 28, 2025

D - Isolated - Minimal harm Apr 10, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 24, 2025

J - Isolated - Jeopardy Nov 26, 2024 Tag: 0770

Provide timely, quality laboratory services/tests to meet the needs of residents.

Category: Administration Deficiencies

Corrected: Nov 14, 2024

J - Isolated - Jeopardy Nov 26, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Nov 14, 2024

D - Isolated - Minimal harm Oct 15, 2024 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Nov 14, 2024

D - Isolated - Minimal harm Oct 15, 2024 Tag: 0761

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: Nov 14, 2024

D - Isolated - Minimal harm Oct 15, 2024 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 14, 2024

D - Isolated - Minimal harm Oct 15, 2024 Tag: 0689

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: Nov 14, 2024

D - Isolated - Minimal harm Oct 15, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 14, 2024

D - Isolated - Minimal harm Oct 15, 2024 Tag: 0656

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 14, 2024

D - Isolated - Minimal harm Oct 15, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 14, 2024

D - Isolated - Minimal harm Oct 15, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 14, 2024

D - Isolated - Minimal harm Oct 15, 2024 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Nov 14, 2024

D - Isolated - Minimal harm Oct 15, 2024 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Nov 14, 2024

D - Isolated - Minimal harm Oct 15, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Nov 14, 2024

F - Widespread - Minimal harm Oct 15, 2024 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 14, 2024

J - Isolated - Jeopardy Oct 15, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 14, 2024

B - Pattern - No harm Aug 6, 2024 Tag: 0842

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: Aug 16, 2024

C - Widespread - No harm Aug 10, 2023 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 30, 2023

D - Isolated - Minimal harm Aug 10, 2023 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Aug 30, 2023

D - Isolated - Minimal harm Aug 10, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Aug 30, 2023

D - Isolated - Minimal harm Aug 10, 2023 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 30, 2023

D - Isolated - Minimal harm Aug 10, 2023 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 30, 2023

D - Isolated - Minimal harm Aug 10, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 30, 2023

D - Isolated - Minimal harm Aug 10, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 30, 2023

D - Isolated - Minimal harm Aug 10, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 30, 2023

D - Isolated - Minimal harm Aug 10, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Aug 30, 2023

E - Pattern - Minimal harm Aug 10, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 30, 2023

E - Pattern - Minimal harm Aug 10, 2023 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Aug 30, 2023

E - Pattern - Minimal harm Aug 10, 2023 Tag: 0761

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: Aug 30, 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 20.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.2% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 30.3% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 9.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 27.2% 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 17.0% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.0% 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 97.9% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 27.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.5% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 27.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 65.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 81.9% No

Penalty History 2 penalties totaling $250K

Date Type Amount
May 6, 2025 Fine $70K
May 6, 2025 Payment Denial -
Oct 15, 2024 Fine $180K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Windsor Rehabilitation and Healthcare Center, both outside NC so the neighborhoods are not the same-state geography list below.

What the CMS records show for Windsor Rehabilitation and Healthcare Center

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 NC registry aggregates state averages and the highest-rated homes in this cohort. View NC registry
  • Peer homes near 82 beds show how CMS stars vary at a similar scale in NC. 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 Rehabilitation and Healthcare Center?
Windsor Rehabilitation and Healthcare Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (2★).
Where does Windsor Rehabilitation and Healthcare Center rank among nursing homes in NC?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Windsor Rehabilitation and Healthcare Center ranks 410th among 415 rated nursing homes in NC (#410 of 415). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Windsor Rehabilitation and Healthcare Center?
Windsor Rehabilitation and Healthcare Center reports 3.10 total nursing hours per resident day (national average: 3.86). RN hours are 0.46 per resident day (national average: 0.69). Nursing staff turnover is 79.3%.
How many beds does Windsor Rehabilitation and Healthcare Center have?
Windsor Rehabilitation and Healthcare Center has 82 certified beds with approximately 66 residents. The facility is located at 1306 South King Street, Windsor, NC 27983.
Does Windsor Rehabilitation and Healthcare Center have any deficiencies on record?
Yes, Windsor Rehabilitation and Healthcare Center has 50 deficiencies on record from recent inspections. Of these, 5 are classified as causing actual harm or jeopardy.
Has Windsor Rehabilitation and Healthcare Center received any fines or penalties?
Yes, Windsor Rehabilitation and Healthcare Center has received 2 penalties totaling $250K.
Who owns Windsor Rehabilitation and Healthcare Center?
Windsor Rehabilitation and Healthcare Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Windsor Rehabilitation and Healthcare Center last inspected?
The most recent health inspection for Windsor Rehabilitation and Healthcare Center was on Jan 13, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Windsor Rehabilitation and Healthcare Center?
Windsor Rehabilitation and Healthcare Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
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.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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