nursing home in South Yarmouth, MA
Windsor Nursing & Retirement Home
265 N Main St, South Yarmouth, MA 02664 · (508) 394-3514
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Windsor Nursing & Retirement Home at a glance
Windsor Nursing & Retirement Home is a 120-bed non-profit nursing home in South Yarmouth, Massachusetts (Barnstable County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Massachusetts average of 3.
Residents receive about 3.9 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.9 hours.
Its most recent standard health inspection (March 19, 2026) found 6 health citations. The Massachusetts average is 6.8.
Federal regulators fined it 1 time in the past three years, totaling $12,386.
Nursing staff turnover is 37.7% per year (state average 38.2%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Integritus Healthcare
- Medicare-certified since
- July 1, 1989
- Resident/family council
- Resident
- County
- Barnstable County
- CMS Certification Number
- 225349
Ratings
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.91 hrs | 3.86 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.63 hrs | 0.65 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.42 hrs | 2.25 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.34 hrs | 3.48 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 37.7% | 38.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 26.7% | 42.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 34 | 51.8 | 80.6 | Better |
Penalties
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $12,386 | $34,265 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 120 | 107 | |
| Average residents per day | 89 | 99 | 86 | |
| Occupancy | 73.8% | 82.1% | 80.9% |
Long-stay residents
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.4% | 3.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.8% | 4.2% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 19.8% | 21.4% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2% | 1.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 25.9% | 16.4% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 26% | 15.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 7.1% | 5.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 27% | 15.5% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 19.2% | 19.5% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 13.6% | 21.2% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 80.7% | 94.8% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 96.2% | 92.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.9% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 80.4% | 77.7% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 87.5% | 78.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 24 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 19, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 28, 2026 |
| March 19, 2026 Standard | Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Tag F0839 | E Potential harm, pattern | Corrected April 28, 2026 |
| March 19, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected April 28, 2026 |
| March 19, 2026 Standard | 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 April 28, 2026 |
| March 19, 2026 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected April 28, 2026 |
| March 19, 2026 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | B No harm, pattern | Corrected April 28, 2026 |
| January 9, 2025 Fire safety | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Tag E0025 | F Potential harm, widespread | Corrected February 19, 2025 |
| January 9, 2025 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | F Potential harm, widespread | Corrected February 3, 2025 |
| January 9, 2025 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected January 24, 2025 |
| January 9, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected February 19, 2025 |
| January 9, 2025 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 | E Potential harm, pattern | Corrected February 19, 2025 |
| January 9, 2025 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | E Potential harm, pattern | Corrected February 19, 2025 |
| January 9, 2025 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 February 19, 2025 |
| January 9, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 19, 2025 |
| January 9, 2025 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 | E Potential harm, pattern | Corrected February 19, 2025 |
| January 9, 2025 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 February 19, 2025 |
| January 9, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected February 19, 2025 |
| January 9, 2025 Standard | 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 February 19, 2025 |
| October 12, 2023 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | C No harm, widespread | Corrected November 13, 2023 |
| October 12, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected November 13, 2023 |
| October 12, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | C No harm, widespread | Corrected November 13, 2023 |
| October 12, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected November 22, 2023 |
| October 12, 2023 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | E Potential harm, pattern | Corrected November 22, 2023 |
| October 12, 2023 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected November 22, 2023 |
| October 12, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected November 22, 2023 |
| October 12, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 22, 2023 |
| October 12, 2023 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected November 22, 2023 |
| October 12, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected November 22, 2023 |
| October 12, 2023 Standard | 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. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected November 22, 2023 |
| October 12, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | B No harm, pattern | Corrected November 22, 2023 |
| October 12, 2023 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 | B No harm, pattern | Corrected November 22, 2023 |
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 1 federal penalty in the past three years, including $12,386 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 12, 2023 | Fine | $12,386 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FAIRVIEW EXTENDED CARE SERVICES INC Organization | 5% or greater direct ownership interest | 100% | 03/29/1990 |
| INTEGRITUS HEALTHCARE INC Organization | 5% or greater indirect ownership interest | 100% | 02/01/2022 |
| GINGRAS, MARCIE JO Individual | corporate officer | NOT APPLICABLE | 12/13/2021 |
| JONES, WILLIAM Individual | corporate officer | NOT APPLICABLE | 02/01/1993 |
| INTEGRITUS HEALTHCARE INC Organization | operational/managerial control | NOT APPLICABLE | 03/26/1990 |
| INTEGRITUS HEALTHCARE MANAGEMENT SERVICES INC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2022 |
| BREWER, SCOTT Individual | w-2 managing employee | NOT APPLICABLE | 12/22/2021 |
Other nursing homes near Windsor Nursing & Retirement Home
Mayflower Place Nursing & Rehabilitation Center
579 Buck Island Road, West Yarmouth, MA 02673 · 4.1 mi
For-profit · 72 beds
★★★★★2Below averageRegalcare at Harwich
111 Headwaters Drive, Harwich, MA 02645 · 5.2 mi
For-profit · 135 beds · Part of Regalcare
★★★★★3Average- ★★★★★5Much above average
Cape Regency Rehabilitation & Health Care Center
120 S Main Street, Centerville, MA 02632 · 8.4 mi
For-profit · 120 beds · Part of Athena Healthcare Systems
★★★★★1Much below averageCape Cod Post Acute Care
383 South Orleans Road, Brewster, MA 02631 · 10.1 mi
For-profit · 135 beds · Part of Marquis Health Services
★★★★★3Average- ★★★★★3Average
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Frequently asked questions
What is Windsor Nursing & Retirement Home's rating?
Windsor Nursing & Retirement Home has 2 out of 5 stars on the CMS overall star rating. The average for Massachusetts nursing homes is 3 stars.
How many inspection citations did Windsor Nursing & Retirement Home receive?
Its most recent standard health inspection found 6 citations, compared with a Massachusetts average of 6.8. Every citation is listed on this page with its severity.
Does Windsor Nursing & Retirement Home 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 Nursing & Retirement Home?
It is non profit - corporation and part of Integritus Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Windsor Nursing & Retirement Home and how do I contact it?
Windsor Nursing & Retirement Home is at 265 N Main St, South Yarmouth, MA 02664. Phone: (508) 394-3514.
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.