Lilisity

Nursing home

Windsor Grove Health and Rehabilitation

23352 Courthouse Highway, Windsor, VA 23487 · Map
For profit - Corporation · Part of Avardis Health (14 facilities) · 114 certified beds

Medicare and Medicaid certified
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Windsor Grove Health and Rehabilitation is a Medicare-certified nursing home in Windsor, Virginia. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 2.61 hours per resident per day, below the Virginia average of 3.81. Its most recent inspection on May 1, 2025 cited 20 deficiencies.

1 out of 5Overall CMS rating
2 out of 5Health inspections
1 out of 5Staffing
114 bedsCertified beds

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections2/5
Staffing1/5
Quality measures4/5
Long-stay quality5/5
Short-stay quality3/5

How Windsor Grove Health and Rehabilitation compares

This facility vs. the Virginia and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityVirginia avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)2.613.813.89below avg
RN staffing (hrs/resident/day)0.290.690.68below avg
Aide staffing (hrs/resident/day)1.572.122.34below avg
Nursing staff turnover49.4%48.4%46.4%above avg
Deficiencies cited, last inspection20.014.59.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

2.61Total nurse hrs/resident/day
0.29RN hrs/resident/day
0.74LPN hrs/resident/day
1.57Aide hrs/resident/day
2.21Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff49.4%
Registered nurses72.7%
Administrator changes1 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

May 1, 2025Most recent inspection
20Deficiencies found
100Health inspection score
0Fines
  • Every deficiency from the May 1, 2025 inspection was corrected by June 26, 2025

What inspectors found at Windsor Grove Health and Rehabilitation

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    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 · May 1, 2025 · Full report (PDF)
  • Potential for harm

    Ensure that residents are free from significant medication errors.

    Pharmacy Service Deficiencies · May 1, 2025 · Full report (PDF)
  • Potential for harm

    Observe each nurse aide's job performance and give regular training.

    Nursing and Physician Services Deficiencies · May 1, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · May 1, 2025 · Full report (PDF)
  • Potential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care Deficiencies · May 1, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Environmental Deficiencies · May 1, 2025 · Full report (PDF)
  • Potential for harm

    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 · May 1, 2025 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · May 1, 2025 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · May 1, 2025 · Full report (PDF)
  • Potential for harm

    Provide appropriate foot care.

    Quality of Life and Care Deficiencies · May 1, 2025 · Full report (PDF)
  • Potential for harm

    Assist a resident in gaining access to vision and hearing services.

    Quality of Life and Care Deficiencies · May 1, 2025 · Full report (PDF)
  • Potential for harm

    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 · May 1, 2025 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
23352 Courthouse Highway
Windsor, VA 23487
CMS certification #
495347
Ownership
For profit - Corporation
Certified beds
114
Avg residents/day
110.9
Provider type
Medicare and Medicaid
First certified
2000-08-01
Chain
Avardis Health (14 facilities)
Setting
Urban

Part of Avardis Health

Avardis Health operates 14 nursing facilities across the United States. View all Avardis Health facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Windsor Grove Health and Rehabilitation using Google Maps.

Other public records

  • Workplace safety 1 OSHA workplace safety inspection since 2023, 3 violations cited
Full public records, with dates and sources

Staff pay and workplace safety

Federal records about how the employer here treats its staff.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • Aug 8, 2023: complaint inspection, partial (health). Case closed Dec 20, 2023. 3 violations cited (3 other). Penalties: $1,000 proposed, $650 now. OSHA record. OSHA recorded the employer as Windsor Facility Operations, LLC.
    Details
    • Other than serious: Giving injury records to OSHA when asked (1904.40(a)). Penalty $1,000 proposed, $650 now.
    • Other than serious: Portable fire extinguishers (1910.157(c)(1)). Penalty $0 proposed, $0 now.
    • Other than serious: Portable fire extinguishers (1910.157(e)(3)). Penalty $0 proposed, $0 now.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby care

Nearest hospital with an emergency room
Sentara Obici Hospital, Suffolk. 9.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
Nearest Medicare nursing home
Lake Prince Woods, INC, Suffolk. 7.4 miles away, straight line.
Nearest home health agency office
Lake Prince At Home LLC, Suffolk. 7.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Walgreens. 9.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 23487 as metropolitan (metropolitan high commuting).
Dialysis within 15 miles
Artificial Kidney Center - Suffolk, Suffolk, 9.6 miles away, straight line (CMS rating 2 of 5 stars)
Davita Nansemond Dialysis, Suffolk, 11.8 miles away, straight line (CMS rating 4 of 5 stars)
Hospice
17 Medicare hospices tell CMS they serve ZIP code 23487.
Lake Prince Woods At Home LLC, office in Suffolk, 7.4 miles away, straight line
Bon Secours Hospice, office in Suffolk, 17.8 miles away, straight line (CMS family survey rating 3 of 5 stars)
Gentiva Ii, office in Newport News, 23.7 miles away, straight line
Nearest geriatric medicine practice
Centerwell Senior Primary Care Va PLLC, Portsmouth. 22.5 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: hurricane relatively high, inland flooding relatively moderate, wildfire relatively low, tornado relatively moderate, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026See above
Hurricane evacuation zone mapsNot in a mapped zone
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here relatively low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteNo plain statements of services found

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Frequently asked questions

Is Windsor Grove Health and Rehabilitation a good nursing home?

CMS gives Windsor Grove Health and Rehabilitation an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Windsor Grove Health and Rehabilitation staffed?

Windsor Grove Health and Rehabilitation reports 2.61 total nurse hours per resident per day, compared with the Virginia average of 3.81.

Has Windsor Grove Health and Rehabilitation had inspection problems?

Its most recent CMS inspection cited 20 deficiencies.

How many beds does Windsor Grove Health and Rehabilitation have?

Windsor Grove Health and Rehabilitation is certified for 114 beds.