Nursing homes › Virginia › Windsor Grove Health and Rehabilitation
23352 Courthouse Highway, Windsor, VA 23487 · 7572424770 · 114 certified beds
Per CMS filings, this facility is affiliated with Avardis Health, a group operating 38 facilities in 4 states. Group record: average rating 2.0/5, 9 abuse citation icons, 5 facilities on the Special Focus list, $1,579,025 in federal fines. This facility rates above its group average (2.0/5).
Total nurse staffing: 2.71 (Virginia median: 3.45). RN hours: 0.37. Weekend total: 2.20. Nursing staff turnover: 56%.
All-time on record: 62 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-05-01 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Health | corrected 2025-06-26 |
| 2025-05-01 | Observe each nurse aide's job performance and give regular training. | E | Health | corrected 2025-06-26 |
| 2025-05-01 | Ensure that residents are free from significant medication errors. | E | Health | corrected 2025-06-26 |
| 2025-05-01 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-06-26 |
| 2025-05-01 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2025-06-26 |
| 2025-05-01 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2025-06-26 |
| 2025-05-01 | Respond appropriately to all alleged violations. | D | Health | corrected 2025-06-26 |
| 2025-05-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-06-26 |
| 2025-05-01 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-06-26 |
| 2025-05-01 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-06-26 |
| 2025-05-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-06-26 |
| 2025-05-01 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Health | corrected 2025-06-26 |
| 2025-05-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-06-26 |
| 2025-05-01 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2025-06-26 |
| 2025-05-01 | Provide appropriate foot care. | D | Health | corrected 2025-06-26 |
| 2025-05-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-06-26 |
| 2025-05-01 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-06-26 |
| 2025-05-01 | 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. | D | Health | corrected 2025-06-26 |
| 2025-05-01 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-06-26 |
| 2025-05-01 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Health | corrected 2025-06-26 |
| 2024-11-14 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | complaint | corrected 2025-01-04 |
| 2024-11-14 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | complaint | corrected 2025-01-04 |
| 2024-11-14 | Honor 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. | D | complaint | corrected 2025-01-04 |
| 2024-11-14 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | complaint | corrected 2025-01-04 |
| 2024-11-14 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2025-01-04 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| WINDSOR PARENTCO LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 05/01/2025 |
| ISLE OF WIGHT HOLDCO LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 05/01/2025 |
| VAOP HOLDCO LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 05/01/2025 |
| HOBACK, TIFFANY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/01/2025 |
| MORGAN, DANIEL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/01/2025 |
| SNF MGR LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2025 |
| COLBURN, JEFFREY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| HOBACK, TIFFANY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2025 |
| JONES, TEQUILLA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| MORGAN, DANIEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| UPTEGROW, RACHELLE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| WHITLEY, NAKIA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 495347. Corrections: data@carerecords.org.