Windsor Rehabilitation and Healthcare Center
1306 South King Street · Windsor, NC · 27983 · 2527945146
82 certified beds For profit - Corporation Chain: Simcha Hyman & Naftali Zanziper
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $249,991 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 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.
$249,991 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.98 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
75% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 2.98 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 2.53 | ≈ weekday level |
| Nursing turnover / year | 75% | median 45% |
| Fines (3-yr window) | 2 · $249,991 |
Inspection citations (52 in the current record)
-
Potential for harm · D January 13, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 3, 2026 · Resident Rights
-
Potential for harm · D January 13, 2026
Ensure each resident receives an accurate assessment.
Corrected February 2, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 13, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 4, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 13, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 2, 2026 · Pharmacy Service
-
Potential for harm · D January 13, 2026
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 February 2, 2026 · Pharmacy Service
-
Potential for harm · E January 13, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 4, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 13, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 4, 2026 · Infection Control
-
Potential for harm · D January 13, 2026 · 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 February 2, 2026 · Resident Rights
-
Potential for harm · D January 13, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E January 13, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 4, 2026 · Pharmacy Service
-
Potential for harm · E January 13, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 4, 2026 · Infection Control
-
No harm found · C January 13, 2026 · found via complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected February 2, 2026 · Resident Rights
-
Potential for harm · D November 14, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 20, 2025 · Resident Rights
-
Potential for harm · D November 14, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D May 28, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 13, 2025 · Resident Rights
-
Potential for harm · D May 28, 2025 · found via complaint
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.
Corrected June 13, 2025 · Resident Rights
-
Potential for harm · F May 28, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 13, 2025 · Infection Control
-
Potential for harm · F May 28, 2025 · found via complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected June 13, 2025 · Infection Control
-
Potential for harm · E May 28, 2025 · found via complaint
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected June 13, 2025 · Infection Control
-
Actual harm · G May 6, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G May 6, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 10, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J November 26, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 14, 2024 · Pharmacy Service
-
Immediate jeopardy · J November 26, 2024 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected November 14, 2024 · Administration
-
Immediate jeopardy · J October 15, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 6, 2025 | Fine | $70,220 |
| May 6, 2025 | Payment Denial | 17 days |
| October 15, 2024 | Fine | $179,771 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345339 · certified since December 18, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.