Windsor Rehabilitation & Health Care Center
Windsor, Missouri · CCN 265683
17 surveys since 2011. The first finding at harm level was recorded in 2017.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 57
- Surveys
- 17
- Harm or worse
- 2
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 60
- Ownership
- For profit - Corporation
- Chain
- JAMES & JUDY LINCOLN
- County
- Henry · rural
- Medicare-certified since
- 1997
CMS ratings
- Overall
- 2
- Health inspection
- 3
- Staffing
- 3
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 82 for-profit facilities with fewer than 66 beds in Missouri.
Last survey on record
Jun 25, 2025
502 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.44 | 3.20 |
| Registered-nurse hours per resident day | 0.41 | — |
| Annual nurse turnover | 51.5% | 57.5% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D834.8% | E1043.5% | F313.0% |
| No harm, potential for minimal | A— | B— | C28.7% |
Most frequently cited here
In CMS’s current monthly file.
- F6843×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5671×
Honor the resident's right to manage his or her financial affairs.
- F5821×
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- F5841×
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.
In the surveyor’s words
From the most serious findings on record at Windsor Rehabilitation & Health Care Center, in the surveyor’s own words.
- Actual harm, patternF880Apr 7, 2022
Based on interview and record review, the facility failed to develop and implement water management policies and procedures to reduce the risk of growth and spread of Legionella (a bacteria which causes a respiratory disease when breathing in small droplets of water in the air that contain the bacteria) in the facility's building water system. The facility did not update their policy to include ongoing implementation of monitoring and control measures after positive Legionella samples were identified in 2019 and mitigation efforts cleared detection in 2020. Four additional residents (Resident #1, #2, #3, and #4) tested positive for Legionella beginning in March 2022. The facility had a census of 39. […]
- No harm, potential for more than minimal, widespreadF925Jul 29, 2024
Based on observation, interview, and records review, the facility failed to implement an effective pest control program to control flies within the facility. The facility census was 34. Review showed the facility did not provide a policy regarding pest control. 1. Review of the pest control company's summary of service, dated 04/24/24, showed the following facility recommendations: -Insect Light 001- Insect light trap is not working properly. Please schedule service to ensure effective flying insect control; -Insect Light 4- Insect light trap is not working properly. Please schedule service to ensure effective flying insect control; -Insect Light 003- Insect light trap is not working properly. […]
- No harm, potential for more than minimal, widespreadF727Dec 14, 2023
Based on record review and staff interviews, the facility failed to schedule a Registered Nurse (RN) for at least eight consecutive hours a day for three of the 14 days reviewed for November and December 2023 (12/02/23, 12/03/23, and 12/09/23). The facility census was 32. 1. Review of the daily staffing for the period of 11/27/23 thru 12/09/23 showed a RN was not scheduled in the facility on 12/02/23, 12/03/23, and 12/09/23. During an interview on 12/14/23, at 9:21 A.M., the Administrator said the staffing coordinator was not present and he/she would be the person to talk to about staffing. The administrator was aware the facility had days when there was no RN coverage during a 24-hour period. […]
- No harm, potential for more than minimal, widespreadF812Dec 14, 2023
Based on observation, record review, and interview, the facility failed to ensure that it stored, prepared, and distributed food in accordance with professional standards for food safety when staff failed to perform hand hygiene prior to handling clean dishes, failed to follow manufacture directions for storage/dispose of supplements, and failed to keep the ice machine clean. The deficiency had the potential to affect 35 residents. 1. Review of the facility's untitled policy provided by the dietary manager from the computer, dated April 2011, showed after the first tray of dishes is washed, pull the rack out of machine to air dry. Sanitize hands between handling of soiled and clean dishes. […]
- No harm, potential for more than minimal, patternF567Jun 25, 2025
Based on interview and record review, facility staff failed to ensure three residents (Resident #6, #21, and #90) had access to their trust fund account which included evenings and weekends. The facility census was 37. 1. Review of the policies provided showed staff did not provide a policy for the availability of funds. Review of the facility's admission Packet, undated, showed in the personal property of resident section, upon execution of this agreement the facility shall provide the resident or his/her authorized representative with a copy of a policy discussing the resident's rights regarding his or her own personal funds, which may be kept on deposit in the facility's resident trust account. […]
Read 21 findings in full →The most serious and the most recent: 21 of 57 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 25, 2025Standard9 findings
- Jul 29, 2024Complaint4 findings
- Dec 14, 2023Standard5 findings
- Sep 6, 2023Complaint1 finding
- Apr 7, 2022Complaint1 finding · 1 harm
- May 21, 2021Standard4 findings
- Nov 1, 2019Complaint1 finding
- Jan 4, 2019Complaint1 finding
Show the 9 earlier surveys
- Mar 23, 2018Standard6 findings
- Nov 16, 2017Complaint2 findings
- May 18, 2017Standard5 findings · 1 harm
- Jun 4, 2015Standard4 findings
- Dec 6, 2014Complaint2 findings
- May 23, 2014Standard6 findings
- Jun 6, 2013—2 findings
- Mar 30, 2012—3 findings
- May 27, 2011—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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