Windsor Nursing & Retirement HomeCMS ratings, inspections and fines
- Address
- 265 N Main St, South Yarmouth, MA 02664
- CCN
- 225349
- Ownership type
- Non-profit, corporation
- Certified beds
- 120
- Residents per day
- 89
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Windsor Nursing & Retirement Home an overall rating of 2 of 5 stars. The last standard survey was on 19 Mar 2026. The latest survey cycle has 6 health citations. The median for nursing homes in Massachusetts is 6. CMS lists 1 fine of $12,386 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Massachusetts (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Barnstable County median | Massachusetts median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 2.0 | 3.0 | 2.9 |
| Quality measure rating | 1 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 15 homes in the county, 341 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Massachusetts median |
|---|---|---|---|
| Cycle 1 (latest) | 19 Mar 2026 | 6 | 6 |
| Cycle 2 | 9 Jan 2025 | 8 | 8 |
| Cycle 3 | No date | 10 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 28 Apr 2026 |
| 19 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 Apr 2026 |
| 19 Mar 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 28 Apr 2026 |
| 19 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 28 Apr 2026 |
| 19 Mar 2026 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E | Standard survey | 28 Apr 2026 |
| 19 Mar 2026 | F0887 | 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 | Standard survey | 28 Apr 2026 |
Survey cycle 2: 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 9 Jan 2025 | F0584 | 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. | E | Standard survey | 19 Feb 2025 |
| 9 Jan 2025 | F0585 | 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 | Standard survey | 19 Feb 2025 |
| 9 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 19 Feb 2025 |
| 9 Jan 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | E | Standard survey | 19 Feb 2025 |
| 9 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 19 Feb 2025 |
| 9 Jan 2025 | F0761 | 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. | E | Standard survey | 19 Feb 2025 |
| 9 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 19 Feb 2025 |
| 9 Jan 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 19 Feb 2025 |
Survey cycle 3: 10 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 12 Oct 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 22 Nov 2023 |
| 12 Oct 2023 | F0585 | 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. | E | Standard survey | 22 Nov 2023 |
| 12 Oct 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 22 Nov 2023 |
| 12 Oct 2023 | F0625 | 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 | Standard survey | 22 Nov 2023 |
| 12 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 22 Nov 2023 |
| 12 Oct 2023 | F0685 | Assist a resident in gaining access to vision and hearing services. | E | Standard survey | 22 Nov 2023 |
| 12 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 22 Nov 2023 |
| 12 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 Nov 2023 |
| 12 Oct 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 22 Nov 2023 |
| 12 Oct 2023 | F0849 | 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 | Standard survey | 22 Nov 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 12 Oct 2023 | Fine | $12,386 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Massachusetts median | Massachusetts average (CMS) |
|---|---|---|---|
| All nurse staff | 3.91 | 3.70 | 3.86 |
| Registered nurses (RN) | 0.63 | 0.60 | 0.65 |
| Licensed practical nurses (LPN) | 0.86 | 0.95 | |
| Nurse aides | 2.42 | 2.26 | |
| All nurse staff, weekends | 3.34 | 3.30 | 3.48 |
- Nurse staff turnover in a year
- 37.7%
- Nurse staff turnover, Massachusetts median
- 37.7%
- RN turnover in a year
- 26.7%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.9% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.0% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.8% | 19.6% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Non-profit, corporation
- Legal business name
- South Yarmouth Management Systems Inc
- Chain
- Integritus Healthcare (14 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fairview Extended Care Services Inc | 5% or greater direct ownership interest | 100% | 29 Mar 1990 |
| Integritus Healthcare Inc | 5% or greater indirect ownership interest | 100% | 1 Feb 2022 |
| Integritus Healthcare Inc | Operational/managerial control | 26 Mar 1990 | |
| Integritus Healthcare Management Services Inc | Operational/managerial control | 1 Feb 2022 |
The site shows organisations only. It does not show the names of persons.
Other homes in Barnstable County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Mayflower Place Nursing & Rehabilitation Center | West Yarmouth | 3 of 5 | 6 | $0 | 14 Nov 2025 | |
| Regalcare at Harwich | Harwich | 3 of 5 | 7 | $0 | 3 Dec 2025 | |
| Pavilion , The | Hyannis | 5 of 5 | 0 | $0 | 17 Jun 2025 | |
| Cape Regency Rehabilitation & Health Care Center | Centerville | 1 of 5 | 16 | $0 | 20 May 2025 | |
| Cape Cod Post Acute Care | Brewster | 1 of 5 | 8 | $298,483 | 8 May 2025 | |
| Liberty Commons | North Chatham | 3 of 5 | 9 | $0 | 9 Jan 2026 | |
| Royal of Cotuit | Mashpee | 2 of 5 | 10 | $7,901 | 31 Mar 2026 | |
| Cape Heritage Rehabilitation & Health Care Center | Sandwich | 2 of 5 | 7 | $0 | 21 May 2025 | |
| Bourne Manor Extended Care Facility | Bourne | 1 of 5 | 10 | $48,575 | 11 May 2026 | |
| Royal Cape Cod Nursing & Rehabilitation Center | Buzzards Bay | 3 of 5 | 6 | $9,004 | 20 Jan 2026 | |
| Royal Megansett Nursing & Rehabilitation | N Falmouth | 4 of 5 | 5 | $0 | 8 Apr 2025 | |
| Royal Nursing Center, LLC | Falmouth | 3 of 5 | 7 | $8,278 | 18 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Windsor Nursing & Retirement Home (CCN 225349). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/windsor-nursing-retirement-home-south-yarmouth-ma-225349/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Windsor Nursing & Retirement Home last inspected?
- The latest inspection with a citation in the CMS record was on 19 Mar 2026. It was a standard survey. It gave 6 citations. The standard survey before the last one was on 9 Jan 2025.
- Who operates Windsor Nursing & Retirement Home?
- The CMS record gives the ownership type as non-profit, corporation. CMS lists the home in the chain Integritus Healthcare. The CMS ownership file names Integritus Healthcare Inc and Integritus Healthcare Management Services Inc for operational or managerial control. This site does not show the names of persons.
- Is Windsor Nursing & Retirement Home a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Massachusetts as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.