• CMS rates this facility 1/5 stars (below average)
• Has 120 certified beds with an average of 88 residents per day (73% occupancy)
• Last health inspection found 8 deficiencies (inspected Jan 9, 2025)
• Has been fined a total of $15,636 across 2 fine(s)
• Total nursing staff: 3.93 hours per resident per day
• Staff turnover rate: 49.4%
• Part of the Integritus Healthcare chain (15 facilities)
Windsor Nursing & Retirement Home is a 1-star Medicare and Medicaid certified nursing home in South Yarmouth, Massachusetts with 120 certified beds. It has been operating since 1989. The facility scored below average compared to Massachusetts facilities.
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.
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.
Ensure services provided by the nursing facility meet professional standards of quality.
Assist a resident in gaining access to vision and hearing services.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Honor the resident's right to organize and participate in resident/family groups in the facility.
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.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Assist a resident in gaining access to vision and hearing services.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide safe and appropriate respiratory care for a resident when needed.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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.
Provide and implement an infection prevention and control program.
Perform COVID19 testing on residents and staff.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Ensure that residents are fully informed and understand their health status, care and treatments.
Allow residents to self-administer drugs if determined clinically appropriate.
Honor the resident's right to organize and participate in resident/family groups in the facility.
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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
+ 12 more deficiencies
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 |
|---|---|---|---|---|
| FAIRVIEW EXTENDED CARE SERVICES INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Mar 29, 1990 |
| INTEGRITUS HEALTHCARE INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | Feb 1, 2022 |
| INTEGRITUS HEALTHCARE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Mar 26, 1990 |
| INTEGRITUS HEALTHCARE MANAGEMENT SERVICES INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Feb 1, 2022 |
| GINGRAS, MARCIE JO | CORPORATE OFFICER | Individual | N/A | Dec 13, 2021 |
| JONES, WILLIAM | CORPORATE OFFICER | Individual | N/A | Feb 1, 1993 |
| BREWER, SCOTT | W-2 MANAGING EMPLOYEE | Individual | N/A | Dec 22, 2021 |
This chain operates 15 facilities. View all →