Elder Care Record

Alabama › Madison County › Huntsville

Windsor House

4411 Mcallister Drive, Huntsville, AL 35805

CCN 015397 · For-profit, corporation · 117 certified beds · chain Diversicare Healthcare

No standard inspection in 2+ years
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Windsor House is a For-profit, corporation nursing home in Huntsville, Alabama, certified for 117 beds and caring for about 100 residents a day.

CMS gives it 1 of 5 stars overall, below the Alabama median of 3; the health inspection rating is 1, staffing 2 and quality measures 3.

Inspectors recorded 24 health deficiencies across the three most recent survey cycles (11, 1, 12 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 20.5 per 100 beds, more than the state median of 7.7.

CMS lists 1 penalty in the period covered: fines totalling $266K.

Reported nurse staffing is 2.8 hours per resident per day (0.6 RN), below the Alabama median of 3.9; nursing staff turnover is 56.8%.

CMS flags that the facility has not had a standard health inspection in more than two years.

24health deficiencies, 3 survey cycles4 at actual harm or worse
$266Kfines listed by CMS1 penalty in period
2.8nurse hours per resident per daystate median 3.9
86%occupancy (residents ÷ beds)100 residents a day

Compared with county, state and nation

MeasureThis facilityMadison Co. medianAlabama medianUS average
Overall star rating1333.0
Health citations, 3 cycles2410928.7
Citations per 100 beds20.510.07.726.8
Total nurse hours per resident day2.84.03.93.9
RN hours per resident day0.60.70.60.7
Nursing staff turnover56.8%55.1%46.7%45.8%
Fines listed$266,231$0$0—

County and state figures are medians across facilities (12 in the county, 224 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)11
Cycle 21
Cycle 312

Dark bar: this facility. Grey bar: Alabama average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 May 2021, 7 Mar 2019.

Severity mix: J ×2 G ×2 D ×17 E ×2 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
20 Sep 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation19 Oct 2023
20 Sep 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.JComplaint investigation19 Oct 2023
20 Sep 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation19 Oct 2023
20 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation19 Oct 2023
20 Sep 2023F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint investigation19 Oct 2023
24 Aug 2023F0584Honor 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.EComplaint investigation28 Sep 2023
24 Aug 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation28 Sep 2023
24 Aug 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation28 Sep 2023
24 Aug 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation28 Sep 2023
29 May 2021F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GStandard survey2 Jul 2021
29 May 2021F0692Provide enough food/fluids to maintain a resident's health.GStandard survey2 Jul 2021
29 May 2021F0625Notify 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.FStandard survey2 Jul 2021
29 May 2021F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey2 Jul 2021
29 May 2021F0584Honor 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.DStandard survey2 Jul 2021
29 May 2021F0641Ensure each resident receives an accurate assessment.DStandard survey2 Jul 2021
29 May 2021F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey2 Jul 2021
29 May 2021F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey2 Jul 2021
29 May 2021F0761Ensure 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.DStandard survey2 Jul 2021
29 May 2021F0790Provide routine and 24-hour emergency dental care for each resident.DStandard survey2 Jul 2021
29 May 2021F0880Provide and implement an infection prevention and control program.DStandard survey2 Jul 2021
7 Mar 2019F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey11 Apr 2019
5 Apr 2018F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard survey10 May 2018
5 Apr 2018F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey10 May 2018
5 Apr 2018F0880Provide and implement an infection prevention and control program.DStandard survey10 May 2018

Penalties

DateTypeAmountDetail
24 Aug 2023Fine$266,231

Staffing

Total nursing2.84 h
Nurse aides1.75 h
LPN0.53 h
RN0.57 h
Weekend total2.46 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Alabama average. Turnover: nursing staff 56.8%, RNs 72.2%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityAlabama medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay1.1%11.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.7%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay4.3%1.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.6%2.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay7.0%1.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay1.5%11.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.2%4.9%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay20.6%20.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Diversicare Windsor House, Llc. Chain: Diversicare Healthcare (44 facilities).

OrganisationRole in the CMS recordInterestSince
Diversicare Leasing LP5% or greater direct ownership interest100%07/26/2000
Advocat Finance, LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED12/18/1996
Dac Newcorp Inc5% or greater indirect ownership interestNO PERCENTAGE PROVIDED04/04/2022
Diversicare Healthcare Services LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED05/10/1994
Diversicare Management Services LP.5% or greater indirect ownership interestNO PERCENTAGE PROVIDED10/10/1996
Diversicare Management Services LP.Operational/managerial controlNOT APPLICABLE11/18/2024

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Madison County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Willowbrooke Ct Skilled Care Ctr At Magnolia TraceHuntsville5953546.8—17 May 2022
Diversicare of Big SpringsHuntsville14544496.2—27 Jan 2022
Fairview At Redstone VillageHuntsville5644435.4—17 Feb 2022
Valley View Health and Rehabilitation, LLCMadison155433106.5—22 Apr 2022
Brookshire Healthcare CenterHuntsville12933486.2—17 Mar 2022
Madison Manor Nursing HomeMadison80334810.0—15 Aug 2024
South Hampton Nursing & Rehabilitation CenterOwens Cross Roads8133478.6—14 Jul 2023
Huntsville Health & Rehabilitation, LLCHuntsville1051131918.1—21 May 2026

All 12 facilities in Madison County

Questions and answers

How many deficiencies has Windsor House been cited for?

24 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Alabama median is 9 per facility.

Has Windsor House been fined?

Yes. CMS lists fines totalling $266K in the period covered.

How does staffing at Windsor House compare?

Reported total nurse staffing is 2.8 hours per resident per day against a Alabama median of 3.9 and a national average of 3.9.

Who operates Windsor House?

It is part of the Diversicare Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Diversicare Leasing LP, Advocat Finance, LLC and Dac Newcorp Inc. Individual owners and managers are not listed on this site.

When was Windsor House last inspected?

The most recent survey or investigation in the CMS record is dated 20 Sep 2023; the most recent standard health survey was 29 May 2021.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.