Windsor Nursing & Retirement Home

CCN 225349 · SOUTH YARMOUTH MANAGEMENT SYSTEMS INC · Non profit - Corporation · INTEGRITUS HEALTHCARE chain · 120 certified beds · Barnstable · MA


Windsor Nursing & Retirement Home is a 120-bed nursing home in SOUTH YARMOUTH, Massachusetts. CMS has certified it for Medicare and Medicaid since 1989-07-01. It averages 88.6 residents a day.

What harm was found in the violations cited at Windsor Nursing & Retirement Home?

CMS lists 24 health-inspection deficiencies for Windsor Nursing & Retirement Home, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-03-19.

Survey dateTagDeficiencySeverity
2026-03-19F0812, F0839Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Employ staff that are licensed, certified, or registered in accordance with state laws.E
2026-03-19F0689, F0692, F0887Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D
2026-03-19F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.B
2025-01-09F0584, F0685, F0761, F0812, F0842Honor 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. / Assist a resident in gaining access to vision and hearing services. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2025-01-09F0585, F0658, F0689Honor 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-10-12F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2023-10-12F0565, F0585, F0685Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / Assist a resident in gaining access to vision and hearing services.E
2023-10-12F0656, F0695, F0698, F0849Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D
2023-10-12F0623, F0625Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.B

Why was Windsor Nursing & Retirement Home fined?

DateTypeAmount
2023-10-12Fine$12,386

How is Windsor Nursing & Retirement Home staffed?

MeasureThis facilityMA average
Total nurse staffing hours per resident per day3.905623.86193
Total nursing staff turnover (%)37.738.2
Average number of residents per day88.698.5

Who owns Windsor Nursing & Retirement Home, and what chain is it in?

Windsor Nursing & Retirement Home is registered with CMS as Non profit - Corporation, operates under the legal business name SOUTH YARMOUTH MANAGEMENT SYSTEMS INC and belongs to the INTEGRITUS HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTFAIRVIEW EXTENDED CARE SERVICES INCsince 03/29/1990
5% OR GREATER INDIRECT OWNERSHIP INTERESTINTEGRITUS HEALTHCARE INCsince 02/01/2022
W-2 MANAGING EMPLOYEEBREWER, SCOTTsince 12/22/2021
CORPORATE OFFICERGINGRAS, MARCIE JO, JONES, WILLIAMsince 02/01/1993
OPERATIONAL/MANAGERIAL CONTROLINTEGRITUS HEALTHCARE INC, INTEGRITUS HEALTHCARE MANAGEMENT SERVICES INCsince 02/01/2022

Were you or a family member harmed at Windsor Nursing & Retirement Home?