C71

WINDSOR HEALTHCARE & REHAB CENTER

Grade C 71/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
2/5
Health Insp.
3/5
Quality
2/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

60

Ownership

For profit - Corporation

Total Fines

None

Last Survey

N/A

809 WEST BENTON, WINDSOR, MO 65360
6606473102

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.27h
LPN
0.89h
CNA
2.07h
Total
3.23h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

LINCOLN, JAMES

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Mar 2003

50%

LINCOLN, JUDY

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Mar 2003

50%

TRUMAN VALLEY HEALTH CARE, INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Mar 2003

BYSOR, BRANDON

IndividualCORPORATE DIRECTORSince Mar 2023

CRANE, GARY

IndividualCORPORATE DIRECTORSince Mar 2003

DRAKE, TIMOTHY

IndividualCORPORATE OFFICERSince Mar 2023

STUTTS, CHARLOTTE

IndividualCORPORATE OFFICERSince Mar 2003

MERRILL, CLARA

IndividualW-2 MANAGING EMPLOYEESince Aug 2015

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (23)

June 25, 2025Health9 deficiencies
0567EMinimal harm, Pattern

Honor the resident's right to manage his or her financial affairs.

Resident Rights Deficiencies

Corrected Aug 5, 2025
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Aug 5, 2025
0628CNo harm, Widespread

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Resident Rights Deficiencies

Corrected Aug 5, 2025
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 5, 2025
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 5, 2025
0680CNo harm, Widespread

Ensure the activities program is directed by a qualified professional.

Quality of Life and Care Deficiencies

Corrected Aug 5, 2025
0732DMinimal harm, Isolated

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Aug 5, 2025
0803EMinimal harm, Pattern

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Nutrition and Dietary Deficiencies

Corrected Aug 5, 2025
0883EMinimal harm, Pattern

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Aug 5, 2025
July 29, 2024Health4 deficiencies
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 9, 2024
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 9, 2024
0728EMinimal harm, Pattern

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Nursing and Physician Services Deficiencies

Corrected Sep 9, 2024
0925FMinimal harm, Widespread

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

Environmental Deficiencies

Corrected Sep 9, 2024
December 14, 2023Health5 deficiencies
0582EMinimal harm, Pattern

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Jan 26, 2024
0692DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 26, 2024
0727FMinimal harm, Widespread

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Nursing and Physician Services Deficiencies

Corrected Jan 26, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jan 26, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 26, 2024
September 6, 2023Health1 deficiency
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 16, 2023
May 21, 2021Health4 deficiencies
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Jul 2, 2021
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 2, 2021
0700EMinimal harm, Pattern

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Quality of Life and Care Deficiencies

Corrected Jul 2, 2021
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jul 2, 2021

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Frequently Asked Questions

What is the CareGrader rating for WINDSOR HEALTHCARE & REHAB CENTER?

WINDSOR HEALTHCARE & REHAB CENTER in WINDSOR, Missouri has a CareGrader grade of C (Average), with a composite score of 71.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for WINDSOR HEALTHCARE & REHAB CENTER?

WINDSOR HEALTHCARE & REHAB CENTER has an overall CMS star rating of 2 out of 5, a health inspection rating of 3/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does WINDSOR HEALTHCARE & REHAB CENTER have?

WINDSOR HEALTHCARE & REHAB CENTER has 23 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does WINDSOR HEALTHCARE & REHAB CENTER have?

WINDSOR HEALTHCARE & REHAB CENTER has 60 certified beds with approximately 35 current residents (58% occupancy). The facility is located at 809 WEST BENTON, WINDSOR, Missouri 65360. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.