Windber Woods Senior Living & Rehabilitation Ctr
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 30 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 (2/5 stars)
- Above-median deficiencies (12 vs median 8.0)
Below average in PA · Below recommended RN staffing · Above average staffing · $16,036 in fines
What this means for your family
While many families report excellent physical therapy and compassionate care, the recent reports of neglect and medication errors are deeply concerning. If you choose this facility, we strongly recommend conducting unannounced visits during weekends and evenings to verify the quality of care and staffing levels firsthand.
Google Reviews
Google Reviews
30 reviews on Google“Windber Woods Senior Living & Rehabilitation Center receives highly polarized feedback, with many families praising the physical therapy team and nursing staff for their compassionate care. However, recent critical reviews highlight serious concerns regarding neglect, including reports of bedsores, hygiene issues, and inconsistent medication management. Families considering this facility should be aware of the stark contrast between those who report excellent experiences and those who describe significant lapses in basic care.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical therapy team
- Professional and compassionate nursing staff
- Proactive communication during transitions
- Clean and well-maintained environment
Concerns
- Neglect and poor hygiene (bedsores, lack of bathing) (mentioned by 2 reviewers)
- Inconsistent medication management (mentioned by 2 reviewers)
- Inadequate staffing levels leading to poor care (mentioned by 2 reviewers)
- Poor food quality and missed meals (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 32 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Given the facility's strong reputation for physical therapy, how do you coordinate that care with daily nursing support to ensure residents remain active and well-groomed?
- 2I noticed some feedback regarding consistency in medication management; what specific protocols or double-check systems do you have in place to ensure medications are administered accurately and on time?
- 3With the current CMS health inspection ratings, what specific quality improvement initiatives are you currently prioritizing to enhance the overall care experience for residents?
- 4Regarding the dining experience, how do you monitor and ensure that residents are receiving their meals consistently and that individual nutritional needs are being met?
- 5I see that you actively engage with families through online feedback; how do you use that input to make real-time adjustments to the care or environment here at Windber Woods?
- 6What is your process for ensuring that residents receive regular, thorough hygiene assistance and skin checks to prevent complications like bedsores?
Personalized based on this facility's data
Key Review Excerpts
“The nursing staff was excellent as they treated my father and myself with professionalism, kindness, compassion, and respect. Physical therapy was excellent.”
“So many things happened to him while he was in there, he was falling out of his bed all the time because no one was watching him, he got a bed sore big enough to put your thumb in it, he was wearing the same clothes for a whole week because they barely bathed him.”
“I'm sorry most of the time the food is unedible. There was three times she didn't even get a meal at dinner time. And it's for getting her meds on time and the right meds. Well that's a whole other story.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
3
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families filed 16 complaints triggering inspections, raising concerns about this facility's care quality. Recurring problems include medication management errors, safety hazards and accident prevention, and care planning deficiencies. While most issues show correction dates, the pattern of repeated violations in the same areas—particularly medication errors appearing across multiple surveys—suggests ongoing operational challenges that warrant careful consideration during any visit.
Feb 27, 2026Routine16
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
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 appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services 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.
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 27, 2025Routine12
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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 for the safe, appropriate administration of IV fluids for a resident when needed.
Resident Assessment and Care Planning Deficiencies
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
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 pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 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.
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 5, 2024Complaint2
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
Ensure services provided by the nursing facility meet professional standards of quality.
Oct 23, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 3, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 18, 2024Routine8
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
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.
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Federal Penalties
Fine
Mar 27, 2025
$11,190
Fine
Oct 23, 2024
$8,018
Fine
Oct 23, 2024
$8,018
Ownership & Operations
Who Operates This Facility
Windber Woods Senior Living & Rehabilitation Ctr
nonprofit
Ownership & Management
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
30 reviews from families & visitors
Official Website
Visit windberwoods.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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