Windsor Grove Health and Rehabilitation
23352 Courthouse Highway · Windsor, VA · 23487 · 7572424770
114 certified beds For profit - Corporation Chain: Avardis Health
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Total nurse staffing below 3.0 hours per resident-day
2.77 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.77 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 2.34 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (62 in the current record)
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Potential for harm · D May 1, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected June 26, 2025 · Resident Rights
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Potential for harm · D May 1, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 26, 2025 · Resident Rights
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Potential for harm · D May 1, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 1, 2025
Respond appropriately to all alleged violations.
Corrected June 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 1, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 26, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected June 26, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected June 26, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025
Provide appropriate foot care.
Corrected June 26, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 26, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected June 26, 2025 · Quality of Life and Care
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Potential for harm · F May 1, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected June 26, 2025 · Nursing and Physician Services
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Potential for harm · E May 1, 2025
Observe each nurse aide's job performance and give regular training.
Corrected June 26, 2025 · Nursing and Physician Services
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Potential for harm · E May 1, 2025
Ensure that residents are free from significant medication errors.
Corrected June 26, 2025 · Pharmacy Service
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Potential for harm · D May 1, 2025
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.
Corrected June 26, 2025 · Pharmacy Service
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Potential for harm · D May 1, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected June 26, 2025 · Environmental
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Potential for harm · D May 1, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 26, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 26, 2025 · Infection Control
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Potential for harm · D November 14, 2024 · found via 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.
Corrected January 4, 2025 · Resident Rights
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Potential for harm · D November 14, 2024 · found via complaint
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected January 4, 2025 · Quality of Life and Care
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Potential for harm · D November 14, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected January 4, 2025 · Quality of Life and Care
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Potential for harm · E November 14, 2024 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected January 4, 2025 · Environmental
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Potential for harm · E November 14, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected January 4, 2025 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495347 · certified since August 1, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.