Windsor Grove Health and Rehabilitation
23352 COURTHOUSE HIGHWAY, Windsor, VA, 23487
Yes. Federal inspectors cited 20 deficiencies against Windsor Grove Health and Rehabilitation in Windsor, Virginia at its most recent standard inspection on 2025-05-01, 2 of them arising from complaints. Medicare rates it 2 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · F0730 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · F0678 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-05-01 · from a complaint · No actual harm, potential for more than minimal harm
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · F0685 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate foot care.
Quality of Life and Care Deficiencies · F0687 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-05-01 · from a complaint · No actual harm, potential for more than minimal harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · F0925 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
Who owns Windsor Grove Health and Rehabilitation
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| WINDSOR PARENTCO LLC | Organization | 100% | since 05/01/2025 |
| ISLE OF WIGHT HOLDCO LLC | Organization | NO PERCENTAGE PROVIDED | since 05/01/2025 |
| VAOP HOLDCO LLC | Organization | NO PERCENTAGE PROVIDED | since 05/01/2025 |
| HOBACK, TIFFANY | Individual | NOT APPLICABLE | since 05/01/2025 |
| MORGAN, DANIEL | Individual | NOT APPLICABLE | since 05/01/2025 |
| SNF MGR LLC | Organization | NOT APPLICABLE | since 05/01/2025 |
| COLBURN, JEFFREY | Individual | NOT APPLICABLE | since 05/01/2025 |
| HOBACK, TIFFANY | Individual | NOT APPLICABLE | since 06/01/2025 |
| JONES, TEQUILLA | Individual | NOT APPLICABLE | since 05/01/2025 |
| MORGAN, DANIEL | Individual | NOT APPLICABLE | since 05/01/2025 |
| UPTEGROW, RACHELLE | Individual | NOT APPLICABLE | since 05/01/2025 |
| WHITLEY, NAKIA | Individual | NOT APPLICABLE | since 06/01/2025 |
Part of the AVARDIS HEALTH group.
Ask Windsor Grove Health and Rehabilitation a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 495347.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction