nursing home in Windsor, VA
Windsor Grove Health and Rehabilitation
23352 Courthouse Highway, Windsor, VA 23487 · (757) 242-4770
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Windsor Grove Health and Rehabilitation at a glance
Windsor Grove Health and Rehabilitation is a 114-bed for-profit nursing home in Windsor, Virginia (Isle of Wight County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Virginia average of 3.
Residents receive about 2.7 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (May 1, 2025) found 20 health citations. The Virginia average is 14.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 56.3% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 114
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avardis Health
- Medicare-certified since
- August 1, 2000
- Resident/family council
- Resident
- County
- Isle of Wight County
- CMS Certification Number
- 495347
Ratings
| Measure | This facility | Virginia 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) | 2 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.4 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.9 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.6 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.71 hrs | 3.76 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.37 hrs | 0.69 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.55 hrs | 2.07 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.20 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 56.3% | 48.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 55.6% | 48.2% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 20 | 14 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 97 | 122.3 | 80.6 | Worse |
Penalties
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $23,688 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 114 | 113 | 107 | |
| Average residents per day | 107 | 99 | 86 | |
| Occupancy | 94% | 87.9% | 80.9% |
Long-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.3% | 3.6% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.3% | 4.7% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 22.4% | 14.2% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.3% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.2% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 14% | 14.9% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 9.5% | 15.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 8.1% | 5.4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 18.7% | 12.8% | Better |
| 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) | 30.3% | 20.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 25.3% | 21.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 92.2% | 94% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 69.9% | 90.9% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.6% | 1.3% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 49.2% | 73.6% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 52.1% | 73.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 62 health deficiencies and 19 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 1, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected October 17, 2025 |
| May 1, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected October 17, 2025 |
| May 1, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected October 17, 2025 |
| May 1, 2025 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | C No harm, widespread | Corrected June 26, 2025 |
| May 1, 2025 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | F Potential harm, widespread | Corrected June 26, 2025 |
| May 1, 2025 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | E Potential harm, pattern | Corrected June 26, 2025 |
| May 1, 2025 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected June 26, 2025 |
| May 1, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected June 26, 2025 |
| May 1, 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 June 26, 2025 |
| May 1, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 26, 2025 |
| May 1, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected June 26, 2025 |
| May 1, 2025 Standard | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | D Potential harm, isolated | Corrected June 26, 2025 |
| May 1, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected June 26, 2025 |
| May 1, 2025 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 | D Potential harm, isolated | Corrected June 26, 2025 |
| May 1, 2025 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 June 26, 2025 |
| May 1, 2025 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected June 26, 2025 |
| May 1, 2025 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 June 26, 2025 |
| May 1, 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 | D Potential harm, isolated | Corrected June 26, 2025 |
| May 1, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected June 26, 2025 |
| May 1, 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 June 26, 2025 |
| May 1, 2025 Standard | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | D Potential harm, isolated | Corrected June 26, 2025 |
| May 1, 2025 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected June 26, 2025 |
| May 1, 2025 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Corrected June 26, 2025 |
| May 1, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 26, 2025 |
| November 14, 2024 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected January 4, 2025 |
| November 14, 2024 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | E Potential harm, pattern | Corrected January 4, 2025 |
| November 14, 2024 Complaint | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0691 | D Potential harm, isolated | Corrected January 4, 2025 |
| November 14, 2024 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected January 4, 2025 |
| November 14, 2024 Complaint | 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 January 4, 2025 |
| March 26, 2021 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected June 2, 2021 |
| March 26, 2021 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected June 2, 2021 |
| March 26, 2021 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected June 2, 2021 |
| March 26, 2021 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected June 2, 2021 |
| March 26, 2021 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected June 2, 2021 |
| March 26, 2021 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected June 2, 2021 |
| March 26, 2021 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected June 2, 2021 |
| March 26, 2021 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected June 2, 2021 |
| March 26, 2021 Standard | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected May 7, 2021 |
| March 26, 2021 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected May 7, 2021 |
| March 26, 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 May 7, 2021 |
| March 26, 2021 Standard | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Tag F0773 | D Potential harm, isolated | Corrected May 7, 2021 |
| March 26, 2021 Standard | Keep complete, dated laboratory records in the resident's record. Administration Deficiencies · Tag F0775 | D Potential harm, isolated | Corrected May 7, 2021 |
| March 26, 2021 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected May 7, 2021 |
| March 26, 2021 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 7, 2021 |
| March 26, 2021 Standard | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | D Potential harm, isolated | Corrected May 7, 2021 |
| March 26, 2021 Standard | The resident has the right to receive notices in a format and a language he or she understands. Resident Rights Deficiencies · Tag F0574 | D Potential harm, isolated | Corrected May 7, 2021 |
| March 26, 2021 Standard | 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. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected May 7, 2021 |
| March 26, 2021 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 | D Potential harm, isolated | Corrected May 7, 2021 |
| March 26, 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 | D Potential harm, isolated | Corrected May 7, 2021 |
| March 26, 2021 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 7, 2021 |
| March 26, 2021 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 July 26, 2020 |
| March 26, 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 May 7, 2021 |
| June 27, 2019 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected August 12, 2019 |
| June 27, 2019 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected August 12, 2019 |
| June 27, 2019 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected August 12, 2019 |
| June 27, 2019 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected August 12, 2019 |
| June 27, 2019 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected August 12, 2019 |
| June 27, 2019 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | C No harm, widespread | Corrected August 6, 2019 |
| June 27, 2019 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | C No harm, widespread | Corrected August 6, 2019 |
| June 27, 2019 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | E Potential harm, pattern | Corrected August 6, 2019 |
| June 27, 2019 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected August 6, 2019 |
| June 27, 2019 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected August 6, 2019 |
| June 27, 2019 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 | E Potential harm, pattern | Corrected August 6, 2019 |
| June 27, 2019 Standard | 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. Resident Rights Deficiencies · Tag F0622 | E Potential harm, pattern | Corrected August 6, 2019 |
| June 27, 2019 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected August 6, 2019 |
| June 27, 2019 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 August 6, 2019 |
| June 27, 2019 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected August 6, 2019 |
| June 27, 2019 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected August 6, 2019 |
| June 27, 2019 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 August 6, 2019 |
| June 27, 2019 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 6, 2019 |
| June 27, 2019 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected February 26, 2019 |
| June 27, 2019 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 | D Potential harm, isolated | Corrected August 6, 2019 |
| June 27, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 6, 2019 |
| June 27, 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 August 6, 2019 |
| June 27, 2019 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected August 6, 2019 |
| June 27, 2019 Standard | 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 | D Potential harm, isolated | Corrected August 6, 2019 |
| June 27, 2019 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 August 6, 2019 |
| June 27, 2019 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected August 6, 2019 |
| June 27, 2019 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected August 6, 2019 |
| June 27, 2019 Standard | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | D Potential harm, isolated | Corrected August 6, 2019 |
| June 27, 2019 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected August 6, 2019 |
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 |
|---|---|---|---|
| WINDSOR PARENTCO LLC Organization | 5% or greater direct ownership interest | 100% | 05/01/2025 |
| ISLE OF WIGHT HOLDCO LLC Organization | 5% or greater indirect ownership interest | 100% | 05/01/2025 |
| COLBURN, JEFFREY Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| HOBACK, TIFFANY Individual | adp of the snf | NOT APPLICABLE | 06/01/2025 |
| JONES, TEQUILLA Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| MORGAN, DANIEL Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| SNF MGR LLC Organization | adp of the snf | NOT APPLICABLE | 04/21/2025 |
| UPTEGROW, RACHELLE Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| WHITLEY, NAKIA Individual | adp of the snf | NOT APPLICABLE | 03/06/1972 |
| HOBACK, TIFFANY Individual | managing control - governing body | NOT APPLICABLE | 05/01/2025 |
| MORGAN, DANIEL Individual | managing control - governing body | NOT APPLICABLE | 05/01/2025 |
| COLBURN, JEFFREY Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| HOBACK, TIFFANY Individual | operational/managerial control | NOT APPLICABLE | 06/01/2025 |
| JONES, TEQUILLA Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| MORGAN, DANIEL Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| SNF MGR LLC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| UPTEGROW, RACHELLE Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| WHITLEY, NAKIA Individual | operational/managerial control | NOT APPLICABLE | 06/01/2025 |
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Frequently asked questions
What is Windsor Grove Health and Rehabilitation's rating?
Windsor Grove Health and Rehabilitation has 2 out of 5 stars on the CMS overall star rating. The average for Virginia nursing homes is 3 stars.
How many inspection citations did Windsor Grove Health and Rehabilitation receive?
Its most recent standard health inspection found 20 citations, compared with a Virginia average of 14.4. Every citation is listed on this page with its severity.
Does Windsor Grove Health and Rehabilitation 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 Grove Health and Rehabilitation?
It is for profit - corporation and part of Avardis Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is Windsor Grove Health and Rehabilitation and how do I contact it?
Windsor Grove Health and Rehabilitation is at 23352 Courthouse Highway, Windsor, VA 23487. Phone: (757) 242-4770.
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.