PlainNursing
CMS Nursing Home Compare · August 2026

Windsor Woods Rehab and Healthcare Center

13719 Dallas Dr, Hudson, FL 34667

Windsor Woods Rehab and Healthcare Center, a 103-bed non profit - other nursing facility in Hudson, FL, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #382 of 691 rated homes in FL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below 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: 7278626795

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3 / 5
Average · CMS overall · nat'l 3.0
#382 of 691
In-state rank among rated FL homes
3.24
Well below average · nurse hrs/day · nat'l 3.86
16
Inspection findings · 1 serious

The verdict

Windsor Woods Rehab and Healthcare Center, a 103-bed non profit - other nursing facility in Hudson, FL, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #382 of 691 rated homes in FL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

3 / 5
CMS overall · national 3.0
#382 of 691
In-state rank among rated FL homes
3.24
Nurse hrs/resident-day · national 3.86
16
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 694 FL nursing homes split by ownership sector

This facility is recorded as Non profit - Other. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
105568
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
Beds
103
Residents
99
In Hospital
No
County
Pasco
Last Inspection
Jun 6, 2024

Staffing Data

How the 3.24 total nursing hours per resident-day are staffed:

RN Hours
0.42 (nat'l avg: 0.69)
LPN Hours
0.80
CNA Hours
2.02
Total Nursing Hours
3.24 (nat'l avg: 3.86)
PT Hours
0.06
Nursing Turnover
26.8%
RN Turnover
50.0%

What the CMS Record Reveals About Windsor Woods Rehab and Healthcare Center

According to CMS Nursing Home Compare, Windsor Woods Rehab and Healthcare Center ranks #382 of 691 rated nursing homes in FL on overall stars (tie-broken by health+staffing+quality, then fewer fines). Windsor Woods Rehab and Healthcare Center operates 103 certified beds in Hudson, FL with approximately 99 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 3★ · staffing 3★ · quality 4★).

The inspection file contains 16 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Per resident day, this facility reports 3.24 total nursing hours (national average 3.86) and 0.42 RN hours.

Classified as "Non profit - Other" ownership and operating as a "Medicare and Medicaid" provider, Windsor Woods Rehab and Healthcare Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 26.8% (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 (16 most recent)

D - Isolated - Minimal harm Apr 24, 2025 Tag: 0849

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: May 24, 2025

D - Isolated - Minimal harm Apr 24, 2025 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: May 24, 2025

E - Pattern - Minimal harm Apr 24, 2025 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: May 24, 2025

D - Isolated - Minimal harm Jun 6, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jul 6, 2024

D - Isolated - Minimal harm Jun 6, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jul 6, 2024

D - Isolated - Minimal harm Jun 6, 2024 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 6, 2024

D - Isolated - Minimal harm Jun 6, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 6, 2024

D - Isolated - Minimal harm Jun 6, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 6, 2024

E - Pattern - Minimal harm Jun 6, 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: Jul 6, 2024

D - Isolated - Minimal harm Aug 4, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 27, 2022

D - Isolated - Minimal harm Aug 4, 2022 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 27, 2022

D - Isolated - Minimal harm Aug 4, 2022 Tag: 0584

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: Sep 4, 2022

D - Isolated - Minimal harm Aug 4, 2022 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Sep 4, 2022

E - Pattern - Minimal harm Aug 4, 2022 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Aug 27, 2022

E - Pattern - Minimal harm Aug 4, 2022 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 27, 2022

G - Isolated - Actual harm Aug 4, 2022 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 28, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 11.5% 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 0.3% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 9.8% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 9.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 15.6% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.6% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.3% 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 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 28.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 4.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 96.9% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

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

What the CMS records show for Windsor Woods Rehab 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 FL registry aggregates state averages and the highest-rated homes in this cohort. View FL registry
  • Peer homes near 103 beds show how CMS stars vary at a similar scale in FL. 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 Woods Rehab and Healthcare Center?
Windsor Woods Rehab and Healthcare Center has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (4★).
Where does Windsor Woods Rehab and Healthcare Center rank among nursing homes in FL?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Windsor Woods Rehab and Healthcare Center ranks 382nd among 691 rated nursing homes in FL (#382 of 691). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Windsor Woods Rehab and Healthcare Center?
Windsor Woods Rehab and Healthcare Center reports 3.24 total nursing hours per resident day (national average: 3.86). RN hours are 0.42 per resident day (national average: 0.69). Nursing staff turnover is 26.8%.
How many beds does Windsor Woods Rehab and Healthcare Center have?
Windsor Woods Rehab and Healthcare Center has 103 certified beds with approximately 99 residents. The facility is located at 13719 Dallas Dr, Hudson, FL 34667.
Does Windsor Woods Rehab and Healthcare Center have any deficiencies on record?
Yes, Windsor Woods Rehab and Healthcare Center has 16 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Windsor Woods Rehab and Healthcare Center received any fines or penalties?
No, Windsor Woods Rehab and Healthcare Center has no fines or penalties on record.
Who owns Windsor Woods Rehab and Healthcare Center?
Windsor Woods Rehab and Healthcare Center is classified as "Non profit - Other" ownership. The facility type is "Medicare and Medicaid".
When was Windsor Woods Rehab and Healthcare Center last inspected?
The most recent health inspection for Windsor Woods Rehab and Healthcare Center was on Jun 6, 2024. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Windsor Woods Rehab and Healthcare Center?
Windsor Woods Rehab 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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