Starfile

Starfile / North Carolina

Windsor Rehabilitation and Healthcare Center

1306 South King Street, Windsor, NC 27983 · CCN 345339

Abuse icon

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★☆☆☆ 2
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Corporation
Certified beds
82
Avg residents/day
64.3
Phone
2527945146

Inspection history vs North Carolina & national averages

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

CycleInspection dateThis facilityNorth Carolina avgNational avgvs state
12026-01-13225.69.5+16.4 worse
22024-10-15167.29.8+8.8 worse
32023-08-10157.49.3+7.6 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation5
Resident assessment and care planning3
Resident rights6
Pharmacy service3
Infection control5

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.1581.8%
RN staffing (reported)0.4675.0%
Total nurse staffing (adjusted)2.95

Fines & penalties

Total fines
$249,991
Number of fines
2
Number of penalties
3
Payment denials
1

Chain

Chain
SIMCHA HYMAN & NAFTALI ZANZIPER
Facilities in chain
94
Chain avg overall
2.30 / 5

Inspection citations (53)3 immediate jeopardy2 actual harm

  1. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2026-01-13 · Health · corrected 2026-02-03

    Potential for more than minimal harm

  2. CF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2026-01-13 · Health · corrected 2026-02-02

    Potential for minimal harm

  3. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2026-01-13 · Health · corrected 2026-02-02

    Potential for more than minimal harm

  4. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2026-01-13 · Health · corrected 2026-02-02

    Potential for more than minimal harm

  5. DF0641Ensure each resident receives an accurate assessment.2026-01-13 · Health · corrected 2026-02-02

    Potential for more than minimal harm

  6. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2026-01-13 · Health · corrected 2026-02-04

    Potential for more than minimal harm

  7. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2026-01-13 · Health · corrected 2026-02-02

    Potential for more than minimal harm

  8. EF0760Ensure that residents are free from significant medication errors.2026-01-13 · Health · corrected 2026-02-04

    Potential for more than minimal harm

  9. DF0761Ensure 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.2026-01-13 · Health · corrected 2026-02-02

    Potential for more than minimal harm

  10. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-13 · Health · corrected 2026-02-04

    Potential for more than minimal harm

  11. EF0880Provide and implement an infection prevention and control program.2026-01-13 · Health · corrected 2026-02-04

    Potential for more than minimal harm

  12. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2026-01-13 · Health · corrected 2026-02-04

    Potential for more than minimal harm

  13. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-11-14 · Health · corrected 2025-11-20

    Potential for more than minimal harm

  14. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-11-14 · Health · corrected 2025-11-20

    Potential for more than minimal harm

  15. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-28 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  16. 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.2025-05-28 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  17. FF0880Provide and implement an infection prevention and control program.2025-05-28 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  18. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-05-28 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  19. EF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-05-28 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  20. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-06 · Health · corrected 2025-05-28

    Actual harm

  21. GF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-05-06 · Health · corrected 2025-05-28

    Actual harm

  22. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-04-10 · Health · corrected 2025-04-24

    Potential for more than minimal harm

  23. JF0760Ensure that residents are free from significant medication errors.2024-11-26 · Health · corrected 2024-11-14

    Immediate jeopardy

  24. JF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-11-26 · Health · corrected 2024-11-14

    Immediate jeopardy

  25. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-10-15 · Health · corrected 2024-11-14

    Potential for more than minimal harm

  26. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-10-15 · Health · corrected 2024-11-14

    Potential for more than minimal harm

  27. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-10-15 · Health · corrected 2024-11-14

    Potential for more than minimal harm

  28. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-10-15 · Health · corrected 2024-11-14

    Immediate jeopardy

  29. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-15 · Health · corrected 2024-11-14

    Potential for more than minimal harm

  30. DF0641Ensure each resident receives an accurate assessment.2024-10-15 · Health · corrected 2024-11-14

    Potential for more than minimal harm

  31. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-15 · Health · corrected 2024-11-14

    Potential for more than minimal harm

  32. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-15 · Health · corrected 2024-11-14

    Potential for more than minimal harm

  33. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-15 · Health · corrected 2024-11-14

    Potential for more than minimal harm

  34. FF0727Have 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.2024-10-15 · Health · corrected 2024-11-14

    Potential for more than minimal harm

  35. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-10-15 · Health · corrected 2024-11-14

    Potential for more than minimal harm

  36. DF0761Ensure 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.2024-10-15 · Health · corrected 2024-11-14

    Potential for more than minimal harm

  37. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-10-15 · Health · corrected 2024-11-14

    Potential for more than minimal harm

  38. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-08-06 · Health · corrected 2024-08-16

    Potential for minimal harm

  39. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-08-10 · Health · corrected 2023-08-30

    Potential for more than minimal harm

  40. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-08-10 · Health · corrected 2023-08-30

    Potential for more than minimal harm

  41. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-10 · Health · corrected 2023-08-30

    Potential for more than minimal harm

  42. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-10 · Health · corrected 2023-08-30

    Potential for more than minimal harm

  43. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-10 · Health · corrected 2023-08-30

    Potential for more than minimal harm

  44. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-08-10 · Health · corrected 2023-08-30

    Potential for more than minimal harm

  45. DF0727Have 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.2023-08-10 · Health · corrected 2023-08-30

    Potential for more than minimal harm

  46. CF0732Post nurse staffing information every day.2023-08-10 · Health · corrected 2023-08-30

    Potential for minimal harm

  47. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2023-08-10 · Health · corrected 2023-08-30

    Potential for more than minimal harm

  48. DF0760Ensure that residents are free from significant medication errors.2023-08-10 · Health · corrected 2023-08-30

    Potential for more than minimal harm

  49. 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.2023-08-10 · Health · corrected 2023-08-30

    Potential for more than minimal harm

  50. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-08-10 · Health · corrected 2023-08-30

    Potential for more than minimal harm

  51. EF0880Provide and implement an infection prevention and control program.2023-08-10 · Health · corrected 2023-08-30

    Potential for more than minimal harm

  52. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-08-10 · Health · corrected 2023-08-30

    Potential for more than minimal harm

  53. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-03-08 · Health · corrected 2023-03-21

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
NC EAST HOLDING LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-01-01
ALTER, TZVIIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST80%2023-01-01
HC FAMILY TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST10%2023-01-01
ZANZIPER FAMILY TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST10%2023-01-01
MURRAY, CHRISIndividualW-2 MANAGING EMPLOYEE2023-01-01

Other facilities in Windsor

NameOverallBeds
Three Rivers Health and Rehabilitation Center★★★★☆60

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