Windsor House

4411 McAllister Drive · Huntsville, AL · 35805 · 2568378585

117 certified beds For profit - Corporation Chain: Diversicare Healthcare

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

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Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Total nurse staffing below 3.0 hours per resident-day

2.76 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 38
Serious harm & abuse 20% 56
Staffing 20% 47
Federal penalties 15% 50
Trend 10% 78
Context 5% 85

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day2.763.48 min · 4.1 strong
RN hours / resident-day0.450.55–0.75
Weekend hours / resident-day2.38≈ weekday level
Nursing turnover / year60%median 45%
Fines (3-yr window)1 · $266,231

Inspection citations (24 in the current record)

  • Immediate jeopardy · J September 20, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected October 19, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J September 20, 2023 · found via complaint

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

    Corrected October 19, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 20, 2023 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected October 19, 2023 · Resident Rights

  • Potential for harm · D September 20, 2023 · found via complaint

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

    Corrected October 19, 2023 · Quality of Life and Care

  • Potential for harm · D September 20, 2023 · found via complaint

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected October 19, 2023 · Quality of Life and Care

  • Potential for harm · E August 24, 2023 · 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 September 28, 2023 · Resident Rights

  • Potential for harm · D August 24, 2023 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected September 28, 2023 · Pharmacy Service

  • Potential for harm · D August 24, 2023 · found via complaint

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

    Corrected September 28, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 24, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected September 28, 2023 · Infection Control

  • Actual harm · G May 29, 2021

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected July 2, 2021 · Resident Rights

  • Actual harm · G May 29, 2021

    Provide enough food/fluids to maintain a resident's health.

    Corrected July 2, 2021 · Quality of Life and Care

  • Potential for harm · D May 29, 2021

    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 July 2, 2021 · Resident Rights

  • Potential for harm · F May 29, 2021

    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.

    Corrected July 2, 2021 · Resident Rights

  • Potential for harm · D May 29, 2021

    Ensure each resident receives an accurate assessment.

    Corrected July 2, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D May 29, 2021

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

    Corrected July 2, 2021 · Quality of Life and Care

  • Potential for harm · D May 29, 2021

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected July 2, 2021 · Quality of Life and Care

  • Potential for harm · D May 29, 2021

    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 July 2, 2021 · Pharmacy Service

  • Potential for harm · D May 29, 2021

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected July 2, 2021 · Quality of Life and Care

  • Potential for harm · E May 29, 2021

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

    Corrected July 2, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D May 29, 2021

    Provide and implement an infection prevention and control program.

    Corrected July 2, 2021 · Infection Control

  • Potential for harm · D March 7, 2019

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

    Corrected April 11, 2019 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 5, 2018

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected May 10, 2018 · Resident Rights

  • Potential for harm · D April 5, 2018

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

    Corrected May 10, 2018 · Resident Assessment and Care Planning

  • Potential for harm · D April 5, 2018

    Provide and implement an infection prevention and control program.

    Corrected May 10, 2018 · Infection Control

Federal penalties

DateTypeAmount / length
August 24, 2023Fine$266,231

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 015397 · certified since October 16, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.