Windsor Health Care Center
Strong Medicare quality ratings; families often praise effective physical and occupational therapy. Still worth an in-person visit.
based on 16 Google reviews
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What this means for your family
While the facility is praised for its therapy department and cleanliness, the recurring reports of neglect and medication errors are serious red flags. If you choose this facility, ensure you have a family member present frequently to monitor care and advocate for your loved one, especially regarding medication and call-light response times.
Google Reviews
Google Reviews
16 reviews on Google“Windsor Health Care Center (also referred to as Guardian Health Care Center) receives highly polarized feedback, with families either praising the facility as a clean, supportive environment or reporting severe neglect. Critical reviews frequently highlight issues with medication errors, unresponsive staff, and poor wound care, while positive reviews emphasize the helpfulness of the therapy team and overall cleanliness. Potential families should be aware of significant inconsistencies in the quality of care provided.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy
- Clean and well-maintained facility
- Helpful and courteous administrative and support staff
Concerns
- Unresponsive or neglectful nursing staff (mentioned by 4 reviewers)
- Medication management errors (mentioned by 2 reviewers)
- Poor communication regarding care plans and discharge (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 16 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed that Windsor Health Care Center is very active in responding to online feedback; how do you incorporate that family input into your daily operations?
- 2Given the importance of medication safety, could you walk us through the specific double-check protocols your nursing team uses to ensure accuracy during medication administration?
- 3With a staffing rating of 3 out of 5, what steps are you taking to ensure that residents receive consistent, attentive care throughout all shifts?
- 4We understand that clear communication is vital; what is your standard process for keeping families updated on changes to a resident's care plan or health status?
- 5Since physical and occupational therapy are noted as strengths here, how are those services integrated into the daily routine for residents who need extra support?
- 6How does your team handle communication during medical emergencies or urgent health changes to ensure families are notified promptly and accurately?
Personalized based on this facility's data
Key Review Excerpts
“My husband was not getting the PT/OT/and was not treated properly for the wound on his butt....it is now twice the size it origninally was, bigger thanks to them.”
“My grandma was recently there she was ignored she rang and yelled and cried for help and no one came.She was denied her medicine she asked for a pillow and the nurse was rude and shoved the pillow at her”
“They tell you you’re coming for 30 days therapy but try to keep you as a permanent resident against your will instead of giving you therapy.”
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
10
measures
7
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control 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
This facility has a concerning pattern of persistent nursing staffing issues, with families filing a complaint about inadequate registered nurse coverage that recurred after previous corrections. The most frequent problem areas include infection control, resident care quality (particularly mobility and nutrition), and fire safety systems. While all 39 deficiencies across four surveys show correction dates, the repeated nursing staffing violations and the fact that families felt compelled to file complaints suggest ongoing operational challenges that warrant careful evaluation during visits.
Feb 14, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Jun 18, 2025Routine6
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 31, 2024Complaint1
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Feb 27, 2023Routine13
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Meet other general requirements that are deficient.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 20, 2020Routine19
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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
Properly provide smoke detection systems in areas open to corridors.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Ownership & Operations
Who Operates This Facility
Windsor Health Care Center
for profit
Chain Affiliation
Windsor House, INC.
11 facilities nationwide
Chain avg rating: 3.5/5 · Rank 2 of 11 (Best)
Ownership & Management
Owners
Masternick, John
Owner
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
16 reviews from families & visitors
Official Website
Visit windsorhouseinc.com
Medicare data downloads
Original nursing home datasets
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