Windsor Grove Health and Rehabilitation
No immediate-jeopardy or actual-harm citations, and no CMS enforcement fines, appear in this facility's current record.
Serious inspection findings
No citations at CMS's actual-harm or immediate-jeopardy levels appear in this facility's current record.
Staffing, from payroll records
Nursing hours / resident / day
2.54
state median 3.10
Weekend staffing gap
−19%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.29
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
56%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
CMS records no penalties for this facility.
Ownership
Ownership type: For profit - Corporation. Part of the AVARDIS HEALTH chain.
Other facilities under the same ownership, with their CMS overall ratings:
- COURTYARD HEALTH AND REHABILITATION (MCCOMB, MS) —
- MIDDLETON OAKS HEALTH AND REHABILITATION (WINONA, MS) —
- STARKVILLE MANOR HEALTH CARE AND REHABILITATION CE (STARKVILLE, MS) —
- GRAND TRACE HEALTH AND REHABILITATION (NATCHEZ, MS) —
- HILLTOP MANOR HEALTH AND REHABILITATION CENTER (UNION, MS) —
- THE OAKS REHABILITATION AND HEALTHCARE CENTER (MERIDIAN, MS) —
- Walnut Cove Health and Rehabilitation (Walnut Cove, NC) —
- Kannapolis Health and Rehabilitation (Kannapolis, NC) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-05-01 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-01 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-01 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-05-01 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-05-01 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-01 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-01 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-01 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-01 | F0678 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-01 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-01 | F0685 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-01 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-01 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-01 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-01 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-05-01 | F0730 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-05-01 | F0760 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-05-01 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-05-01 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-05-01 | F0925 | Environmental Deficiencies | D | not recorded |
| 2024-11-14 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2024-11-14 | F0691 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-14 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-14 | F0919 | Environmental Deficiencies | E | not recorded |
| 2024-11-14 | F0925 | Environmental Deficiencies | E | not recorded |
| 2021-03-26 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2021-03-26 | F0567 | Resident Rights Deficiencies | D | not recorded |
| 2021-03-26 | F0574 | Resident Rights Deficiencies | D | not recorded |
| 2021-03-26 | F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2021-03-26 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2021-03-26 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2021-03-26 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2021-03-26 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-03-26 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-03-26 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-03-26 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-03-26 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-03-26 | F0773 | Administration Deficiencies | D | not recorded |
| 2021-03-26 | F0775 | Administration Deficiencies | D | not recorded |
| 2021-03-26 | F0881 | Infection Control Deficiencies | D | not recorded |
| 2019-06-27 | F0561 | Resident Rights Deficiencies | E | not recorded |
| 2019-06-27 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2019-06-27 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2019-06-27 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2019-06-27 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2019-06-27 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2019-06-27 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2019-06-27 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2019-06-27 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2019-06-27 | F0622 | Resident Rights Deficiencies | E | not recorded |
| 2019-06-27 | F0625 | Resident Rights Deficiencies | E | not recorded |
| 2019-06-27 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-06-27 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-06-27 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-06-27 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2019-06-27 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2019-06-27 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-06-27 | F0727 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2019-06-27 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2019-06-27 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2019-06-27 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2019-06-27 | F0880 | Infection Control Deficiencies | D | not recorded |