Windsor Rehabilitation and Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 72 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.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (22 vs median 4.0)
- High staff turnover (82%)
- High RN turnover (75%)
Bottom 25% in NC · Below recommended RN staffing · Very high staff turnover · Worst in SIMCHA HYMAN & NAFTALI ZANZIPER chain · $249,991 in fines · Abuse citation
What this means for your family
While recent reviews suggest the facility has made positive strides under new administration and offers excellent activity programming, the history of serious medical neglect is concerning. We strongly advise families to conduct unannounced visits during weekends and evenings to verify staffing levels and ensure your loved one's hygiene and medical needs are being met consistently.
Google Reviews
Google Reviews
72 reviews analyzed“Windsor Rehabilitation and Healthcare Center presents a polarized experience, with recent reviews highlighting significant improvements under new administration and a more engaging activity program. However, long-term concerns regarding severe neglect, understaffing, and poor hygiene persist in several critical reports from family members. Families should weigh the praise for the current leadership and activity staff against serious allegations of inadequate bedside care and communication failures.”
Quality Themes
Tap a score for detailsStrengths
- Engaging and creative activity programs
- Recent improvements under new administration
- Clean and welcoming facility environment
- Professional and helpful admissions team
Concerns
- Chronic understaffing leading to neglect (mentioned by 4 reviewers)
- Poor hygiene and failure to address basic resident needs (mentioned by 3 reviewers)
- Lack of communication and responsiveness to family inquiries (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed the facility has been under new administration recently; what specific changes have been implemented to improve the overall quality of care and staffing stability?
- 2Given the current CMS staffing rating, could you walk me through your plan for ensuring consistent, hands-on attention for residents, especially regarding hygiene and daily personal care needs?
- 3I see that you are very active in responding to feedback online; what is your formal process for keeping families updated and ensuring their concerns are addressed promptly?
- 4I’ve read great things about your activity programs; could you tell me more about how you tailor these creative sessions to keep residents engaged and active throughout the week?
- 5With medication management being a priority for our family, what protocols do you have in place to ensure accuracy and timely administration for your residents?
- 6How does your nursing team coordinate with local medical providers to handle urgent health changes or emergencies, and how quickly can we expect to be notified if a situation arises?
Personalized based on this facility's data
Key Review Excerpts
“My mom died in this place and I regret it my mother was not getting the TLC that she deserved one of my visits I walked in and she was sliding on the floor halfway out of her wheelchair the girls are so busy they don't have time to keep watch”
“Mrs. Speller’s creative activities not only keeps residents mentally and physically stimulated but also fosters a sense of community and belonging.”
“I appreciate the care the facility and staff extends to my brother who is a resident of more than 12+ years. Being out of state, it is so helpful to get update calls that are not just emergency situations.”
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
6
measures
11
measures
Residents whose walking got worse
Residents who lost too much weight
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Residents on antipsychotic medication
Residents needing more daily help over time
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
Windsor Rehabilitation and Healthcare Center shows serious concerns with 31 complaint-triggered deficiencies out of 67 total violations, indicating families have repeatedly reported problems. The most recurring issues involve protection from abuse and neglect, medication management, and infection control. While the facility has correction plans for most violations, problems persist across multiple surveys, including recent 2024-2025 complaints about resident safety and medication errors that suggest ongoing quality of care challenges.
Jan 13, 2026Routine8
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
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.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
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
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.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Jan 13, 2026Complaint5
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Nov 14, 2025Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
May 28, 2025Complaint5
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
May 6, 2025Complaint2
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Apr 10, 2025Complaint2
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
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Federal Penalties
Fine
May 6, 2025
$70,220
Payment Denial
May 6, 2025
17-day denial
Fine
Oct 15, 2024
$179,771
Ownership & Operations
Who Operates This Facility
Windsor Rehabilitation and Healthcare Center
for profit
Chain Affiliation
Simcha Hyman & Naftali Zanziper
94 facilities nationwide
Chain avg rating: 2.3/5 · Rank 80 of 94 (Worst)
Ownership & Management
Owners
Nc East Holding LLC
Owner · Organization
Alter, Tzvi
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
72 reviews from families & visitors
Official Website
Visit windsorrehabcenter.com
Medicare data downloads
Original nursing home datasets
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