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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMassachusettsWindsor Nursing & Retirement Home

Windsor Nursing & Retirement Home

265 N Main St, South Yarmouth, MA 026645083943514
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
3/5
Quality
1/5
Beds
120
certified
2 fine(s) totaling $15,636

Key Findings

• 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.

Beds
120
Avg Residents/Day
88
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 1, 1989
Sprinklers
Yes
Council
Resident
County
Barnstable
Last Inspection
Jan 9, 2025
Deficiencies (Cycle 1)
8
Weighted Score
60.0
Infection Citations
2

Deficiency Citations (42)

F0584Potential for Harm

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.

Survey: Jan 9, 2025Corrected: NoCycle: 1
F0585Potential for Harm

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.

Survey: Jan 9, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Jan 9, 2025Corrected: NoCycle: 1
F0685Potential for Harm

Assist a resident in gaining access to vision and hearing services.

Survey: Jan 9, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jan 9, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Jan 9, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jan 9, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Jan 9, 2025Corrected: NoCycle: 1
F0565Potential for Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0585Potential for Harm

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.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0623Minimal Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0625Minimal Harm

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.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0685Potential for Harm

Assist a resident in gaining access to vision and hearing services.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0686Actual Harm

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

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0849Potential for Harm

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.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 13, 2023Corrected: NoCycle: 3
F0886Potential for Harm

Perform COVID19 testing on residents and staff.

Survey: Mar 13, 2023Corrected: NoCycle: 3
F0607Potential for Harm

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

Survey: Jun 1, 2023Corrected: NoCycle: 3
F0552Potential for Harm

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

Survey: Apr 14, 2021Corrected: NoCycle: 3
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Apr 14, 2021Corrected: NoCycle: 3
F0565Potential for Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey: Apr 14, 2021Corrected: NoCycle: 3
F0585Potential for Harm

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.

Survey: Apr 14, 2021Corrected: NoCycle: 3
F0607Potential for Harm

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

Survey: Apr 14, 2021Corrected: NoCycle: 3
F0609Potential for Harm

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

Survey: Apr 14, 2021Corrected: NoCycle: 3
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Apr 14, 2021Corrected: NoCycle: 3
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Apr 14, 2021Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Apr 14, 2021Corrected: NoCycle: 3

+ 12 more deficiencies

Total Fines
$15,636
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineMar 13, 2023
$3,250
FineOct 12, 2023
$12,386

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.44 hrs
National avg: 2.35 hrs
LPN0.88 hrs
National avg: 0.86 hrs
RN0.61 hrs
National avg: 0.68 hrs
Total Nursing3.93 hrs
National avg: 3.89 hrs
Weekend Total3.41 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
49.4%
RN Turnover
47.1%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
FAIRVIEW EXTENDED CARE SERVICES INC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Mar 29, 1990
INTEGRITUS HEALTHCARE INC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization100%Feb 1, 2022
INTEGRITUS HEALTHCARE INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 26, 1990
INTEGRITUS HEALTHCARE MANAGEMENT SERVICES INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AFeb 1, 2022
GINGRAS, MARCIE JOCORPORATE OFFICERIndividualN/ADec 13, 2021
JONES, WILLIAMCORPORATE OFFICERIndividualN/AFeb 1, 1993
BREWER, SCOTTW-2 MANAGING EMPLOYEEIndividualN/ADec 22, 2021

Frequently Asked Questions

What is the CMS rating for Windsor Nursing & Retirement Home?▾
Windsor Nursing & Retirement Home has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 3/5, and quality measures rating of 1/5. This facility is rated below average.
Has Windsor Nursing & Retirement Home had any health inspection violations?▾
Windsor Nursing & Retirement Home had 8 deficiency citations in its most recent health inspection (Jan 9, 2025). The facility has been fined a total of $15,636 across 2 fine(s). It also has 2 infection control citation(s).
What are the staffing levels at Windsor Nursing & Retirement Home?▾
Windsor Nursing & Retirement Home provides 3.93 total nursing staff hours per resident per day, including 0.61 RN hours, 0.88 LPN hours, and 2.44 nurse aide hours. The total staff turnover rate is 49.4%.
How many beds does Windsor Nursing & Retirement Home have?▾
Windsor Nursing & Retirement Home has 120 certified beds with an average of 88 residents per day, resulting in approximately 73% occupancy. The facility is Non profit - Corporation owned and is part of the Integritus Healthcare chain.

Part of Integritus Healthcare

This chain operates 15 facilities. View all →