ElderGrade
F

37/100

Poor

Windsor House

4411 Mcallister Drive, Huntsville, AL 35805

CMS 1/5 stars #12 of 12 in Madison County (256) 837-8585
Certified beds
117
Occupancy
86%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 4 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $266,231 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Last inspection was more than 2 years ago

    Ratings here are based on older survey data than at most facilities.

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

10/30

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

  • -20 for 2 immediate-jeopardy citation(s) in the last 3 years

Staffing

13/30

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

  • 3.34 total nurse hours per resident per day (national median 3.77)
  • 0.57 RN hours per resident per day
  • Weekend staffing drops 14% 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.

  • 57% of nursing staff left in the last year

Resident outcomes

9/15

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

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

Enforcement history

0/10

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

  • $266,231 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

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 2.84 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.57 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 2.46 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 56.80%
National average 45.80% Below average

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

Recent inspection findings

All 24 citations

Last standard health inspection: May 29, 2021 (5 years ago).

J Sep 20, 2023 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy to resident health or safety

J Sep 20, 2023 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Immediate jeopardy to resident health or safety

D Sep 20, 2023 F0580 From a complaint

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 Sep 20, 2023 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Sep 20, 2023 F0740 From a complaint

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

No actual harm, potential for more than minimal harm

E Aug 24, 2023 F0584 From a complaint

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Aug 24, 2023 F0755 From a complaint

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

D Aug 24, 2023 F0842 From a complaint

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of DIVERSICARE HEALTHCARE, which operates 46 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
FORD, ASHLEY Individual CONTRACTED MANAGING EMPLOYEE
BEASLEY, TED Individual W-2 MANAGING EMPLOYEE
KELLMAN, FRANKLIN Individual CORPORATE DIRECTOR
KOHN, BRIAN Individual CORPORATE DIRECTOR
RATNER, ERAN Individual CORPORATE DIRECTOR
BODIE, REBECCA Individual CORPORATE OFFICER
NEE, STEPHEN Individual CORPORATE OFFICER
RATNER, ERAN Individual CORPORATE OFFICER
WEISHAAR, MATTHEW Individual CORPORATE OFFICER
DIVERSICARE MANAGEMENT SERVICES LP. Organization OPERATIONAL/MANAGERIAL CONTROL
BEASLEY, TED Individual ADP OF THE SNF
FORD, ASHLEY Individual ADP OF THE SNF

What families say

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Common questions about Windsor House

What is the ElderGrade for Windsor House? +

Windsor House holds an ElderGrade of F (37 out of 100), which we describe as "poor". 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 House? +

Residents receive an average of 2.84 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Windsor House been cited for harming residents? +

Yes. 4 of the 24 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Windsor House accept Medicaid? +

Yes, Windsor House 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.