The Windsor Place
81 Windsor Boulevard, Columbus, MS 39702 · Lowndes County · 140 certified beds · avg 126 residents/day · certified since Feb 18, 1999
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 9, 2024 · F-0655
The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Why it matters: In the critical first days, staff may not know a new resident's medications, diet, or fall risks.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 6, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 9, 2024 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 6, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, repeated · Oct 28, 2021 · F-0657
The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Why it matters: Delays or gaps in care planning mean staff may work without a clear, current roadmap for the resident's daily care and treatment.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Nov 18, 2021 (Deficient, Provider has date of correction)
▲ Actual harm, repeated · Oct 28, 2021 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Nov 18, 2021 (Deficient, Provider has date of correction)
All citations in the current public record (26)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Oct 9, 2024 | ▲ G · Actual harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Oct 9, 2024 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Oct 9, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 9, 2024 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Oct 9, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Oct 9, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Oct 9, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Oct 9, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 9, 2024 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Oct 9, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 9, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 16, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 28, 2021 | ▲ H · Actual harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Oct 28, 2021 | ▲ H · Actual harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 28, 2021 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 28, 2021 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Oct 28, 2021 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Oct 28, 2021 | D · Potential for harm, one-off | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (8 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 6 | 2 | H ▲ |
| 2023 | 8 | 0 | D |
| 2024 | 12 | 2 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $10,839.
| Date | Type | Amount / length |
|---|---|---|
| Oct 9, 2024 | Fine | $5,419 |
| Oct 9, 2024 | Fine | $5,420 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Mississippi avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.29 | 4.88 | 3.95 | bottom 29% in Mississippi; top 29% in the U.S. |
| Registered Nurse hours | 0.61 | 0.74 | 0.69 | bottom 43% in Mississippi; top 47% in the U.S. |
| Weekend total nurse staffing | 3.66 | 4.09 | 3.50 | bottom 33% in Mississippi; top 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.38 | 0.48 | bottom 22% in Mississippi; bottom 16% in the U.S. |
| Total nursing staff turnover (%) | 45.0 | 45.7 | 45.8 | bottom 47% in Mississippi; bottom 50% in the U.S. |
| RN turnover (%) | 35.7 | 38.4 | 42.9 | top 45% in Mississippi; top 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.57, RN 0.51, weekend 3.04. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Mascarenas, Sandra | Individual | 5% or Greater Direct Ownership Interest | 12% | 10/13/2003 |
| Phillips, Gregory | Individual | 5% or Greater Direct Ownership Interest | 12% | 10/13/2003 |
| Phillips, Helen | Individual | 5% or Greater Direct Ownership Interest | 12% | 10/13/2003 |
| Phillips, Kenneth | Individual | 5% or Greater Direct Ownership Interest | 12% | 10/13/2003 |
| Phillips, Oliver | Individual | 5% or Greater Direct Ownership Interest | 52% | 10/13/2003 |
| Windsor Place Nursing Center INC | Organization | 5% or Greater Direct Ownership Interest | — | 10/13/2003 |
| Fulcher, Todd | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/18/2009 |
| Fulcher, Todd | Individual | ADP of the SNF | NOT APPLICABLE | 11/18/2009 |
| Mascarenas, Sandra | Individual | ADP of the SNF | NOT APPLICABLE | 10/13/2003 |
| Phillips, Gregory | Individual | Corporate Officer | NOT APPLICABLE | 10/13/2003 |
| Phillips, Gregory | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/13/2003 |
| Phillips, Gregory | Individual | ADP of the SNF | NOT APPLICABLE | 10/13/2003 |
| Phillips, Helen | Individual | Corporate Officer | NOT APPLICABLE | 10/13/2003 |
| Phillips, Helen | Individual | ADP of the SNF | NOT APPLICABLE | 10/13/2003 |
| Phillips, Kenneth | Individual | Corporate Officer | NOT APPLICABLE | 10/13/2003 |
| Phillips, Kenneth | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/13/2003 |
| Phillips, Kenneth | Individual | ADP of the SNF | NOT APPLICABLE | 10/13/2003 |
| Phillips, Oliver | Individual | Corporate Officer | NOT APPLICABLE | 10/13/2003 |
| Phillips, Oliver | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/13/2003 |
| Phillips, Oliver | Individual | ADP of the SNF | NOT APPLICABLE | 10/13/2003 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Aurora Health and Rehabilitation | 1.0 mi | Columbus, MS | ★★★☆☆ | 2/5 | |
| Trinity Healthcare Center | 1.4 mi | Columbus, MS | ★★★★☆ | 4/5 | |
| Vineyard Court Nursing Center | 3.4 mi | Columbus, MS | ★★☆☆☆ | 1/5 | |
| West Point Community Living Center | 16.9 mi | West Point, MS | ★☆☆☆☆ | 1/5 | abuse |
| Dugan Memorial Home | 17.0 mi | West Point, MS | ★★★★★ | 4/5 | |
| Convalescent Nursing and Rehab Center | 18.7 mi | Vernon, AL | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 255257.