Windsor Rehabilitation and Healthcare Center

CMS abuse icon · Bertie · NC · For profit - Corporation · SIMCHA HYMAN & NAFTALI ZANZIPER chain · 82 certified beds · CCN 345339 · WINDSOR OPCO LLC


Windsor Rehabilitation and Healthcare Center operates 82 certified beds in Windsor, North Carolina. Its Medicare and Medicaid certification dates to 1990-12-18. It averages 66.2 residents a day.

What harm was found in the violations cited at Windsor Rehabilitation and Healthcare Center?

CMS lists 52 health-inspection deficiencies for Windsor Rehabilitation and Healthcare Center, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-01-13.

Survey dateTagDeficiencySeverity
2026-01-13F0760, F0842, F0880Ensure that residents are free from significant medication errors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.E
2026-01-13F0552, F0580, F0602, F0641, F0658, F0756, F0761, F0883Ensure that residents are fully informed and understand their health status, care and treatments. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from the wrongful use of the resident's belongings or money. / Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2026-01-13F0576Ensure residents have reasonable access to and privacy in their use of communication methods.C
2025-11-14F0550, F0600Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2025-05-28F0880, F0882Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2025-05-28F0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.E
2025-05-28F0550, F0585Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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.D
2025-05-06F0600, F0607Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft.G
2025-04-10F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D
2024-11-26F0760, F0770Ensure that residents are free from significant medication errors. / Provide timely, quality laboratory services/tests to meet the needs of residents.J
2024-10-15F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2024-10-15F0727Have 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.F
2024-10-15F0550, F0561, F0582, F0609, F0641, F0656, F0657, F0689, F0745, F0761, F0883Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2024-08-06F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B
2023-08-10F0561, F0698, F0761, F0867, F0880Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Provide safe, appropriate dialysis care/services for a resident who requires such 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program.E
2023-08-10F0550, F0677, F0684, F0686, F0727, F0745, F0760, F0883Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Ensure that residents are free from significant medication errors. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2023-08-10F0732Post nurse staffing information every day.C

Why was Windsor Rehabilitation and Healthcare Center fined 2 times?

DateTypeAmount
2025-05-06Fine$70,220
2024-10-15Fine$179,771

Has Windsor Rehabilitation and Healthcare Center had payment denied by Medicare?

Payment denial startLength in days
2025-05-2717

How is Windsor Rehabilitation and Healthcare Center staffed relative to the NC average?

MeasureThis facilityNC average
Total nurse staffing hours per resident per day3.102903.83430
Total nursing staff turnover (%)79.349.0
Average number of residents per day66.286.9

Who owns Windsor Rehabilitation and Healthcare Center, and what chain is it in?

Windsor Rehabilitation and Healthcare Center is registered with CMS as For profit - Corporation, operates under the legal business name WINDSOR OPCO LLC and belongs to the SIMCHA HYMAN & NAFTALI ZANZIPER chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTNC EAST HOLDING LLCsince 01/01/2023
5% OR GREATER INDIRECT OWNERSHIP INTERESTALTER, TZVIsince 01/01/2023
W-2 MANAGING EMPLOYEEMURRAY, CHRISsince 01/01/2023

Were you or a family member harmed at Windsor Rehabilitation and Healthcare Center?