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Windsor Grove Health and Rehabilitation

23352 COURTHOUSE HIGHWAY
WINDSOR, VA 23487 · 7572424770 · Isle Of Wight County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds114
OwnershipFor profit - Corporation
State rank#203

By the numbers

62
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
0
Actual-harm (G/H/I)
$0
Federal fines (CMPs)
The trend: Citations are trending down — 20 in the most recent cycle versus 22 two cycles ago.

Recent Health Citations

May 1, 2025 · Health survey · F-tag 0925
D — No actual harm
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
May 1, 2025 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 1, 2025 · Health survey · F-tag 0761
D — No actual harm
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.
May 1, 2025 · Health survey · F-tag 0692
D — No actual harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
May 1, 2025 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 1, 2025 · Health survey · F-tag 0687
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate foot care.
May 1, 2025 · Health survey · F-tag 0685
D — No actual harm
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
May 1, 2025 · Health survey · F-tag 0684
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 1, 2025 · Health survey · F-tag 0678
D — No actual harm
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
May 1, 2025 · Health survey · F-tag 0677
D — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
May 1, 2025 · Health survey · F-tag 0658
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
May 1, 2025 · Health survey · F-tag 0657
D — No actual harm
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.
May 1, 2025 · Health survey · F-tag 0656
D — No actual harm
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.
May 1, 2025 · Health survey · F-tag 0610
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
May 1, 2025 · Health survey · F-tag 0609
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 1, 2025 · Health survey · F-tag 0580
D — No actual harm
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.
May 1, 2025 · Health survey · F-tag 0558
D — No actual harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
May 1, 2025 · Health survey · F-tag 0760
E — No actual harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
May 1, 2025 · Health survey · F-tag 0730
E — No actual harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
May 1, 2025 · Health survey · F-tag 0725
F — No actual harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Virginia →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.