Windsor Grove Health and Rehabilitation

23352 Courthouse Highway, Windsor, VA 23487 · (757) 242-4770
For profit - Corporation · 114 certified beds

Windsor Grove Health and Rehabilitation has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2025, found 20 citations (the Virginia average is 14.3). It hasn't been fined in the last three years.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on May 1, 2025 found 20 citations. What an inspection citation means

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.May 1, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Observe each nurse aide's job performance and give regular training.May 1, 2025 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that residents are free from significant medication errors.May 1, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Reasonably accommodate the needs and preferences of each resident.May 1, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.May 1, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 1, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.May 1, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 1, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.May 1, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.May 1, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.May 1, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.May 1, 2025 · F0678 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 1, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Assist a resident in gaining access to vision and hearing services.May 1, 2025 · F0685 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate foot care.May 1, 2025 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 1, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.May 1, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 1, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.May 1, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.May 1, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 7 citations.

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 1, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.May 1, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.November 14, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.November 14, 2024 · F0691 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.November 14, 2024 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that a working call system is available in each resident's bathroom and bathing area.November 14, 2024 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.November 14, 2024 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

No fines or payment denials in the last three years.

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home