• CMS rates this facility 1/5 stars (below average)
• Has 114 certified beds with an average of 110.9 residents per day (97% occupancy)
• Last health inspection found 20 deficiencies (inspected May 1, 2025)
• No fines on record
• Total nursing staff: 2.61 hours per resident per day
• Staff turnover rate: 49.4%
• Part of the Consulate Health Care/independence Living Centers/nspire Healthcare/raydiant Health Care chain (42 facilities)
Windsor Grove Health and Rehabilitation is a 1-star Medicare and Medicaid certified nursing home in Windsor, Virginia with 114 certified beds. It has been operating since 2000. The facility scored below average compared to Virginia facilities.
Reasonably accommodate the needs and preferences of each resident.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Assist a resident in gaining access to vision and hearing services.
Provide appropriate foot care.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide enough food/fluids to maintain a resident's health.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Observe each nurse aide's job performance and give regular training.
Ensure that residents are free from significant medication errors.
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.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide and implement an infection prevention and control program.
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.
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Provide enough food/fluids to maintain a resident's health.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Honor the resident's right to manage his or her financial affairs.
The resident has the right to receive notices in a format and a language he or she understands.
Protect each resident from the wrongful use of the resident's belongings or money.
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
+ 32 more deficiencies
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| Ownership Data Not Available | N/A | N/A |
This chain operates 42 facilities. View all →