ElderGrade
C

65.7/100

Average

Windsor Grove Health And Rehabilitation

23352 Courthouse Highway, Windsor, VA 23487

CMS 2/5 stars #2 of 2 in Isle Of Wight County (757) 242-4770
Certified beds
114
Occupancy
94%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

27.2/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -2.8 for 25 total citations against a national median of 17

Staffing

11.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.48 total nurse hours per resident per day (national median 3.77)
  • 0.37 RN hours per resident per day
  • Weekend staffing drops 19% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 56% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.71 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.37 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.20 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 56.30%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 62 citations

Last standard health inspection: May 1, 2025 (1 year ago).

F May 1, 2025 F0725

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.

No actual harm, potential for more than minimal harm

E May 1, 2025 F0730

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

No actual harm, potential for more than minimal harm

E May 1, 2025 F0760

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

D May 1, 2025 F0558

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

No actual harm, potential for more than minimal harm

D May 1, 2025 F0580

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.

No actual harm, potential for more than minimal harm

D May 1, 2025 F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

D May 1, 2025 F0610

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

No actual harm, potential for more than minimal harm

D May 1, 2025 F0656

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.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of AVARDIS HEALTH, which operates 38 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
HOBACK, TIFFANY Individual MANAGING CONTROL - GOVERNING BODY
MORGAN, DANIEL Individual MANAGING CONTROL - GOVERNING BODY
SNF MGR LLC Organization OPERATIONAL/MANAGERIAL CONTROL
COLBURN, JEFFREY Individual OPERATIONAL/MANAGERIAL CONTROL
HOBACK, TIFFANY Individual OPERATIONAL/MANAGERIAL CONTROL
JONES, TEQUILLA Individual OPERATIONAL/MANAGERIAL CONTROL
MORGAN, DANIEL Individual OPERATIONAL/MANAGERIAL CONTROL
UPTEGROW, RACHELLE Individual OPERATIONAL/MANAGERIAL CONTROL
WHITLEY, NAKIA Individual OPERATIONAL/MANAGERIAL CONTROL
SNF MGR LLC Organization ADP OF THE SNF
COLBURN, JEFFREY Individual ADP OF THE SNF
HOBACK, TIFFANY Individual ADP OF THE SNF

What families say

Write a review

No family reviews yet for Windsor Grove Health And Rehabilitation. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about Windsor Grove Health And Rehabilitation

What is the ElderGrade for Windsor Grove Health And Rehabilitation? +

Windsor Grove Health And Rehabilitation holds an ElderGrade of C (65.7 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Windsor Grove Health And Rehabilitation? +

Residents receive an average of 2.71 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Windsor Grove Health And Rehabilitation been cited for harming residents? +

No. None of the 62 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Windsor Grove Health And Rehabilitation accept Medicaid? +

Yes, Windsor Grove Health And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.