Terrace Post Acute
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 100 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (21 vs median 13.0)
- High RN turnover (54%)
Bottom 25% in CA · Critically understaffed (RN) · Low staff turnover (stable workforce) · Worst in WINDSOR chain · $94,094 in fines
What this means for your family
This facility offers highly skilled rehabilitation therapists and a very helpful admissions team, which can make the transition into care much smoother. However, the recent trend of reviews highlights significant risks regarding hygiene, medication delays, and staff responsiveness. If you choose this facility, we strongly recommend frequent, unannounced visits and maintaining a close eye on your loved one's personal hygiene and medication schedules.
Google Reviews
Google Reviews
100 reviews on Google“Families considering Terrace Post Acute (often referred to as Windsor Terrace) will find a polarizing environment. While many long-term patients and their families praise the rehabilitation therapists and specific administrative staff for being compassionate and professional, there are serious, recurring allegations regarding medical neglect, hygiene issues, and understaffing. Prospective families should be aware of significant discrepancies between the facility's marketing and the lived experiences of some residents regarding cleanliness and responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate rehabilitation and physical therapy teams
- Professional and helpful admissions and marketing staff
- Friendly and attentive CNA and nursing staff in certain units
- Good variety of food and dining options
Concerns
- Medical neglect and delayed medication administration (mentioned by 3 reviewers)
- Inadequate hygiene and cleanliness of patient rooms (mentioned by 4 reviewers)
- Understaffing leading to slow response times (mentioned by 4 reviewers)
- Difficulty contacting the facility by phone (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 105 analyzed
How They Respond to Reviews
The owner uses highly templated, formulaic responses for almost all reviews. While they attempt to personalize by using the reviewer's name, the core message remains a repetitive request to move the conversation to a private channel via specific management contacts.
Questions for Your Tour
- 1We've heard wonderful things about your rehabilitation and physical therapy teams; could you tell us more about how they work with residents to regain their strength?
- 2What specific protocols do you have in place to ensure medications are administered accurately and on a strict schedule?
- 3How does the housekeeping and cleaning schedule work to ensure that resident rooms and common areas are kept consistently tidy?
- 4In the event of a medical emergency during the night, what is the immediate process for getting a nurse or doctor to a resident's bedside?
- 5What kind of daily activities or social events do you organize to keep the residents engaged and active in the community?
- 6What is the best way for our family to stay in regular contact with the nursing staff if we have questions about our loved one's care?
Personalized based on this facility's data
Key Review Excerpts
“The nurses were kind and worked hard and treated me with dignity. They took pride in their work. I would go there again in a heartbeat.”
“The facility is clean and constantly being cleaned. We are very grateful for his care and to have our dad home again.”
“The place is dirty, they ignore the patients. The lighting, tv's and other equipment is broken. They abuse and scare the patients.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
2
measures
3
measures
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Terrace Post Acute has substantial quality concerns with 123 deficiencies across 36 surveys, including numerous family complaints that triggered investigations. Persistent problems appear in medication management, infection control, and care planning, with these issues recurring across multiple surveys despite reported corrections. The facility has faced repeated citations for medication errors, inadequate infection prevention, and incomplete care plans, suggesting ongoing systemic challenges in fundamental resident care and safety protocols.
Apr 21, 2026Complaint2
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Apr 8, 2026Complaint1
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Mar 6, 2026Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 15, 2026Routine19
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Jan 15, 2026Complaint1
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Aug 26, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal Penalties
Fine
Oct 18, 2023
$94,094
Payment Denial
Oct 18, 2023
44-day denial
Ownership & Operations
Who Operates This Facility
Terrace Post Acute
for profit
Chain Affiliation
Windsor
23 facilities nationwide
Chain avg rating: 2.3/5 · Rank 13 of 19 (Worst)
Ownership & Management
Owners
Antelope Holdings I, LLC
Owner · Organization
Antelope Realty Holdings I, LLC
Owner · Organization
9560 Pico LLC
Owner (parent company) · Organization
Pico Ar LLC
Owner (parent company) · Organization
Robin, Aaron
Owner (parent company)
Tress, Avrohom
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
100 reviews from families & visitors
Official Website
Visit windsorterracecare.com
Medicare data downloads
Original nursing home datasets
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