nursing home in Huntsville, AL
Windsor House
4411 McAllister Drive, Huntsville, AL 35805 · (256) 837-8585
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Windsor House at a glance
Windsor House is a 117-bed for-profit nursing home in Huntsville, Alabama (Madison County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Alabama average of 3.
Residents receive about 2.8 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (May 29, 2021) found 11 health citations. The Alabama average is 3.9.
It has not received a federal fine in the past three years.
Nursing staff turnover is 56.8% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 117
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Diversicare Healthcare
- Medicare-certified since
- October 16, 1987
- Resident/family council
- Resident
- County
- Madison County
- CMS Certification Number
- 015397
Ratings
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.6 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 2.9 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.84 hrs | 3.88 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.57 hrs | 0.65 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.75 hrs | 2.44 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.46 hrs | 3.26 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 56.8% | 46.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 72.2% | 39.5% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 11 | 4 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 110.5 | 50.6 | 80.6 | Worse |
Penalties
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $12,315 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
Size
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 117 | 118 | 107 | |
| Average residents per day | 100 | 98 | 86 | |
| Occupancy | 85.7% | 83.7% | 80.9% |
Long-stay residents
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.6% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 6.2% | 5.4% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 20.6% | 21.2% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 4.3% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 1.1% | 12% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 1.5% | 12.1% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.5% | 5.4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 1.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.6% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 12.1% | 24.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 13.3% | 12.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 86.9% | 92.2% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Alabama avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 7% | 2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 73.1% | 80.3% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 37.2% | 85.3% | 82% | Worse |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| September 20, 2023 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected October 19, 2023 |
| September 20, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | J Immediate jeopardy, isolated | Corrected October 19, 2023 |
| September 20, 2023 Complaint | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | D Potential harm, isolated | Corrected October 19, 2023 |
| September 20, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 19, 2023 |
| September 20, 2023 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected October 19, 2023 |
| May 29, 2021 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | G Actual harm, isolated | Corrected July 2, 2021 |
| May 29, 2021 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected July 2, 2021 |
| May 29, 2021 Standard | 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. Resident Rights Deficiencies · Tag F0625 | F Potential harm, widespread | Corrected July 2, 2021 |
| May 29, 2021 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected July 2, 2021 |
| May 29, 2021 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected July 2, 2021 |
| May 29, 2021 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected July 2, 2021 |
| May 29, 2021 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 2, 2021 |
| May 29, 2021 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected July 2, 2021 |
| May 29, 2021 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected July 2, 2021 |
| May 29, 2021 Standard | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Tag F0790 | D Potential harm, isolated | Corrected July 2, 2021 |
| May 29, 2021 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 2, 2021 |
| March 7, 2019 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected April 17, 2019 |
| March 7, 2019 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected April 11, 2019 |
| April 5, 2018 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected May 10, 2018 |
| April 5, 2018 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | D Potential harm, isolated | Corrected May 10, 2018 |
| April 5, 2018 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected May 10, 2018 |
| April 5, 2018 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected May 10, 2018 |
| April 5, 2018 Standard | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | D Potential harm, isolated | Corrected May 10, 2018 |
| April 5, 2018 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 10, 2018 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| DIVERSICARE LEASING LP Organization | 5% or greater direct ownership interest | 100% | 07/26/2000 |
| ADVOCAT FINANCE, LLC Organization | 5% or greater indirect ownership interest | — | 12/18/1996 |
| DAC NEWCORP INC Organization | 5% or greater indirect ownership interest | — | 04/04/2022 |
| DIVERSICARE HEALTHCARE SERVICES LLC Organization | 5% or greater indirect ownership interest | — | 05/10/1994 |
| DIVERSICARE MANAGEMENT SERVICES LP. Organization | 5% or greater indirect ownership interest | — | 10/10/1996 |
| BEASLEY, TED Individual | adp of the snf | NOT APPLICABLE | 12/05/2024 |
| FORD, ASHLEY Individual | adp of the snf | NOT APPLICABLE | 12/05/2024 |
| NEE, STEPHEN Individual | adp of the snf | NOT APPLICABLE | 12/26/2024 |
| FORD, ASHLEY Individual | contracted managing employee | NOT APPLICABLE | 07/15/2023 |
| KELLMAN, FRANKLIN Individual | corporate director | NOT APPLICABLE | 09/13/2024 |
| KOHN, BRIAN Individual | corporate director | NOT APPLICABLE | 11/19/2021 |
| RATNER, ERAN Individual | corporate director | NOT APPLICABLE | 11/19/2021 |
| BODIE, REBECCA Individual | corporate officer | NOT APPLICABLE | 03/02/2020 |
| NEE, STEPHEN Individual | corporate officer | NOT APPLICABLE | 02/20/2023 |
| RATNER, ERAN Individual | corporate officer | NOT APPLICABLE | 09/13/2024 |
| WEISHAAR, MATTHEW Individual | corporate officer | NOT APPLICABLE | 12/01/2003 |
| DIVERSICARE MANAGEMENT SERVICES LP. Organization | operational/managerial control | NOT APPLICABLE | 11/18/2024 |
| BEASLEY, TED Individual | w-2 managing employee | NOT APPLICABLE | 04/01/2024 |
Other nursing homes near Windsor House
Brookshire Healthcare Center
4320 Judith Lane, Huntsville, AL 35805 · under 1 mi
For-profit · 129 beds · Part of Venza Care Management
★★★★★3AverageDiversicare of Big Springs
500 St. Clair Avenue Southwest, Huntsville, AL 35801 · 2.5 mi
For-profit · 145 beds · Part of Diversicare Healthcare
★★★★★4Above averageThe Health Center at Research Park
5275 Millennium Drive, Huntsville, AL 35806 · 3.1 mi
For-profit · 91 beds · Part of The Ensign Group
- Abuse citation
★★★★★1Much below averageRocket City Rehabilitation and Healthcare Center
105 Teakwood Drive SW, Huntsville, AL 35801 · 3.6 mi
For-profit · 159 beds · Part of Venza Care Management
★★★★★1Much below averageRegency Health Care and Rehabilitation Center
2061 Poole Drive, NW, Huntsville, AL 35810 · 3.6 mi
For-profit · 90 beds
★★★★★1Much below averageHuntsville Health & Rehabilitation, LLC
4010 Chris Drive, Huntsville, AL 35802 · 3.9 mi
For-profit · 105 beds · Part of Nhs Management
★★★★★1Much below average
Frequently asked questions
What is Windsor House's rating?
Windsor House has 1 out of 5 stars on the CMS overall star rating. The average for Alabama nursing homes is 3 stars.
How many inspection citations did Windsor House receive?
Its most recent standard health inspection found 11 citations, compared with a Alabama average of 3.9. Every citation is listed on this page with its severity.
Does Windsor House accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Windsor House?
It is for profit - corporation and part of Diversicare Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Windsor House and how do I contact it?
Windsor House is at 4411 McAllister Drive, Huntsville, AL 35805. Phone: (256) 837-8585.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.