Starfile / Massachusetts

Windsor Nursing & Retirement Home

265 N MAIN ST, SOUTH YARMOUTH, MA 02664 · CCN 225349

Inspection history vs Massachusetts & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$12,386

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

INTEGRITUS HEALTHCARE

Facilities in chain

15

Chain avg overall

2.70 / 5

Inspection citations (42)2 actual harm

1. EF0584Honor 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.2025-01-09 · Health · corrected 2025-02-19

   Potential for more than minimal harm

2. DF0585Honor 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.2025-01-09 · Health · corrected 2025-02-19

   Potential for more than minimal harm

3. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-09 · Health · corrected 2025-02-19

   Potential for more than minimal harm

4. EF0685Assist a resident in gaining access to vision and hearing services.2025-01-09 · Health · corrected 2025-02-19

   Potential for more than minimal harm

5. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-09 · Health · corrected 2025-02-19

   Potential for more than minimal harm

6. EF0761Ensure 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.2025-01-09 · Health · corrected 2025-02-19

   Potential for more than minimal harm

7. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-09 · Health · corrected 2025-02-19

   Potential for more than minimal harm

8. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-09 · Health · corrected 2025-02-19

   Potential for more than minimal harm

9. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-10-12 · Health · corrected 2023-11-22

   Potential for more than minimal harm

10. EF0585Honor 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.2023-10-12 · Health · corrected 2023-11-22

    Potential for more than minimal harm

11. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-10-12 · Health · corrected 2023-11-22

    Potential for minimal harm

12. BF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-10-12 · Health · corrected 2023-11-22

    Potential for minimal harm

13. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-12 · Health · corrected 2023-11-22

    Potential for more than minimal harm

14. EF0685Assist a resident in gaining access to vision and hearing services.2023-10-12 · Health · corrected 2023-11-22

    Potential for more than minimal harm

15. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-12 · Health · corrected 2023-11-22

    Actual harm

16. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-12 · Health · corrected 2023-11-22

    Potential for more than minimal harm

17. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-10-12 · Health · corrected 2023-11-22

    Potential for more than minimal harm

18. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-10-12 · Health · corrected 2023-11-22

    Potential for more than minimal harm

19. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-06-01 · Health · corrected 2023-06-30

    Potential for more than minimal harm

20. DF0880Provide and implement an infection prevention and control program.2023-03-13 · Health · corrected 2023-03-22

    Potential for more than minimal harm

21. FF0886Perform COVID19 testing on residents and staff.2023-03-13 · Health · corrected 2023-03-22

    Potential for more than minimal harm

22. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2021-04-14 · Health · corrected 2021-06-15

    Potential for more than minimal harm

23. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2021-04-14 · Health · corrected 2021-06-15

    Potential for more than minimal harm

24. FF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2021-04-14 · Health · corrected 2021-06-01

    Potential for more than minimal harm

25. EF0585Honor 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.2021-04-14 · Health · corrected 2021-06-01

    Potential for more than minimal harm

26. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2021-04-14 · Health · corrected 2021-06-01

    Potential for more than minimal harm

27. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2021-04-14 · Health · corrected 2021-06-01

    Potential for more than minimal harm

28. DF0610Respond appropriately to all alleged violations.2021-04-14 · Health · corrected 2021-06-01

    Potential for more than minimal harm

29. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2021-04-14 · Health · corrected 2021-06-01

    Potential for more than minimal harm

30. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-04-14 · Health · corrected 2021-06-01

    Potential for more than minimal harm

31. GF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-04-14 · Health · corrected 2021-06-01

    Actual harm

32. DF0687Provide appropriate foot care.2021-04-14 · Health · corrected 2021-06-01

    Potential for more than minimal harm

33. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-04-14 · Health · corrected 2021-06-01

    Potential for more than minimal harm

34. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-04-14 · Health · corrected 2021-06-01

    Potential for more than minimal harm

35. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2021-04-14 · Health · corrected 2021-06-01

    Potential for more than minimal harm

36. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-04-14 · Health · corrected 2021-06-01

    Potential for more than minimal harm

37. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2021-04-14 · Health · corrected 2021-06-01

    Potential for more than minimal harm

38. EF0761Ensure 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.2021-04-14 · Health · corrected 2021-06-01

    Potential for more than minimal harm

39. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2021-04-14 · Health · corrected 2021-06-01

    Potential for more than minimal harm

40. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2021-04-14 · Health · corrected 2021-06-11

    Potential for more than minimal harm

41. FF0880Provide and implement an infection prevention and control program.2021-04-14 · Health · corrected 2021-06-01

    Potential for more than minimal harm

42. FF0881Implement a program that monitors antibiotic use.2021-04-14 · Health · corrected 2021-06-01

    Potential for more than minimal harm

Ownership

Other facilities in SOUTH YARMOUTH

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.