F

Windsor Grove Health and Rehabilitation

23352 COURTHOUSE HIGHWAY, WINDSOR, VA 23487
Score: 34 / 100

Windsor Grove Health And Rehabilitation has received an F grade based on CMS data, with a score of 34/100 — placing it among the lowest-rated nursing facilities in Virginia. Families considering this Windsor facility should carefully review its inspection history and quality metrics.

With 2.61 total nurse hours per resident per day, Windsor Grove Health And Rehabilitation falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent inspections identified 62 deficiencies at Windsor Grove Health And Rehabilitation. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.61 3.8 Below Average
Registered Nurses (RN) 0.29 0.7 Below Average
Licensed Practical Nurses (LPN) 0.74 0.7 Average
Certified Nursing Assistants (CNA) 1.57 2.4 Below Average
Weekend Total Nursing 2.21 3.8 Below Average
Weekend RN Hours 0.21 0.7 Below Average

🔍 Inspection & Deficiency History

62
Total Deficiencies
Apr 30, 2025
Most Recent Inspection
🟠 62 Moderate
View recent deficiencies (5 shown)
  • Tag 0725 Severity F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    Apr 30, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0730 Severity E
    Observe each nurse aide's job performance and give regular training.
    Apr 30, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0760 Severity E
    Ensure that residents are free from significant medication errors.
    Apr 30, 2025 · Pharmacy Service Deficiencies
  • Tag 0558 Severity D
    Reasonably accommodate the needs and preferences of each resident.
    Apr 30, 2025 · Resident Rights Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Apr 30, 2025 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.4% 4.5% Average
Falls with major injury 2.8% 3.0% Average
On antipsychotic medication 18.8% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 12.8% 14.0% Average
Excessive weight loss 5.5% 7.5% Better
New/worsened incontinence 29.0% 45.0% Better

How This Grade Was Calculated

This facility's grade of F is based on a score of 34 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
114
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 30, 2025
Deficiencies (Cycle 1)
20