Windsor Grove Health and Rehabilitation

23352 Courthouse Highway, Windsor, VA 23487 (opens Google Maps) · Isle Of Wight County · (757) 242-4770· 114 certified beds · avg 107 residents/day · certified since Aug 1, 2000 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: AVARDIS HEALTH (38 facilities, chain avg rating 2.0★)

2/5

Health inspection rating (on-site)

inspected May 1, 2025

Serious findings on record

Fines, last 3 years

3.48

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 62 inspection findings. Open the full record below to read every finding.

May 1, 2025F · Potential for more than minimal harm, widespread
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. F-0725
May 1, 2025E · Potential for more than minimal harm, pattern
The facility did not observe each nurse aide's job performance or provide regular training as required. F-0730
May 1, 2025E · Potential for more than minimal harm, pattern
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. F-0760

View all 62 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
May 1, 2025	F · Potential for more than minimal harm, widespread	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. · F-0725
May 1, 2025	E · Potential for more than minimal harm, pattern	The facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730
May 1, 2025	E · Potential for more than minimal harm, pattern	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
May 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
May 1, 2025	D · Potential for more than minimal harm, isolated	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. · F-0580
May 1, 2025	D · Potential for more than minimal harm, isolated	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. · F-0609
May 1, 2025	D · Potential for more than minimal harm, isolated	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. · F-0610
May 1, 2025	D · Potential for more than minimal harm, isolated	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. · F-0656
May 1, 2025	D · Potential for more than minimal harm, isolated	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. · F-0657
May 1, 2025	D · Potential for more than minimal harm, isolated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
May 1, 2025	D · Potential for more than minimal harm, isolated	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. · F-0677
May 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · F-0678
May 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
May 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685
May 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · F-0687
May 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
May 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
May 1, 2025	D · Potential for more than minimal harm, isolated	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. · F-0761
May 1, 2025	D · Potential for more than minimal harm, isolated	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. · from a complaint · F-0880
May 1, 2025	D · Potential for more than minimal harm, isolated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925
Nov 14, 2024	E · Potential for more than minimal harm, pattern	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint · F-0919
Nov 14, 2024	E · Potential for more than minimal harm, pattern	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925
Nov 14, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Nov 14, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. · from a complaint · F-0691
Nov 14, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692
Mar 26, 2021	D · Potential for more than minimal harm, isolated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Mar 26, 2021	D · Potential for more than minimal harm, isolated	The facility did not honor residents' right to manage their own money and financial affairs. · F-0567
Mar 26, 2021	D · Potential for more than minimal harm, isolated	The facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss. · F-0574
Mar 26, 2021	D · Potential for more than minimal harm, isolated	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · F-0602
Mar 26, 2021	D · Potential for more than minimal harm, isolated	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · F-0622
Mar 26, 2021	D · Potential for more than minimal harm, isolated	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. · F-0623
Mar 26, 2021	D · Potential for more than minimal harm, isolated	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625
Mar 26, 2021	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Mar 26, 2021	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Mar 26, 2021	D · Potential for more than minimal harm, isolated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Mar 26, 2021	D · Potential for more than minimal harm, isolated	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. · F-0758
Mar 26, 2021	D · Potential for more than minimal harm, isolated	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. · F-0761
Mar 26, 2021	D · Potential for more than minimal harm, isolated	The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · F-0773
Mar 26, 2021	D · Potential for more than minimal harm, isolated	The facility did not keep complete, dated laboratory records in residents' files. · F-0775
Mar 26, 2021	D · Potential for more than minimal harm, isolated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · F-0881
Jun 27, 2019	E · Potential for more than minimal harm, pattern	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561
Jun 27, 2019	E · Potential for more than minimal harm, pattern	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. · F-0610
Jun 27, 2019	E · Potential for more than minimal harm, pattern	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · F-0622
Jun 27, 2019	E · Potential for more than minimal harm, pattern	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625
Jun 27, 2019	E · Potential for more than minimal harm, pattern	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Jun 27, 2019	E · Potential for more than minimal harm, pattern	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Jun 27, 2019	D · Potential for more than minimal harm, isolated	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. · F-0580
Jun 27, 2019	D · Potential for more than minimal harm, isolated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582
Jun 27, 2019	D · Potential for more than minimal harm, isolated	The facility did not keep residents' personal and medical information private and confidential. · F-0583
Jun 27, 2019	D · Potential for more than minimal harm, isolated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jun 27, 2019	D · Potential for more than minimal harm, isolated	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. · F-0600
Jun 27, 2019	D · Potential for more than minimal harm, isolated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607
Jun 27, 2019	D · Potential for more than minimal harm, isolated	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. · F-0609
Jun 27, 2019	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jun 27, 2019	D · Potential for more than minimal harm, isolated	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. · F-0656
Jun 27, 2019	D · Potential for more than minimal harm, isolated	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. · F-0657
Jun 27, 2019	D · Potential for more than minimal harm, isolated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Jun 27, 2019	D · Potential for more than minimal harm, isolated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · F-0727
Jun 27, 2019	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Jun 27, 2019	D · Potential for more than minimal harm, isolated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
Jun 27, 2019	D · Potential for more than minimal harm, isolated	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. · F-0761
Jun 27, 2019	D · Potential for more than minimal harm, isolated	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. · F-0880

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (15 → 20).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2019

2021

2024

2025

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Worst severity that year
2019	22	E
2021	15	D
2024	5	E
2025	20	F

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityVirginia averageU.S. average

Total nurse staffing (hours per resident per day)

3.48

3.67

3.95

Registered Nurse hours

0.47

0.66

0.69

Weekend total nurse staffing

2.82

3.21

3.50

All bars start at zero. Exact values and supporting details remain below.

Measure	This facility	Virginia avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.48	3.67	3.95	top 40% in Virginia; bottom 36% in the U.S.
Registered Nurse hours	0.47	0.66	0.69	bottom 41% in Virginia; bottom 34% in the U.S.
Weekend total nurse staffing	2.82	3.21	3.50	bottom 42% in Virginia; bottom 22% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.24	0.46	0.48	bottom 25% in Virginia; bottom 19% in the U.S.
Total nursing staff turnover (%)	56.3	48.1	45.8	bottom 32% in Virginia; bottom 22% in the U.S.
RN turnover (%)	55.6	48.2	42.9	bottom 37% in Virginia; bottom 28% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 2.71, RN 0.37, weekend 2.20.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.71 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Windsor Grove Health and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Isle of Wight Holdco LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/01/2025
Vaop Holdco LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/01/2025
Windsor Parentco LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/01/2025
Colburn, Jeffrey	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Colburn, Jeffrey	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Hoback, Tiffany	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2025
Hoback, Tiffany	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2025
Hoback, Tiffany	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2025
Jones, Tequilla	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Jones, Tequilla	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Morgan, Daniel	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2025
Morgan, Daniel	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Morgan, Daniel	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
SNF Mgr LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
SNF Mgr LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/21/2025
Uptegrow, Rachelle	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Uptegrow, Rachelle	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Whitley, Nakia	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2025
Whitley, Nakia	Individual	ADP of the SNF	NOT APPLICABLE	03/06/1972

All 19 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Avardis Health — 38 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Woodstock Valley Health and Rehabilitation — Woodstock, VA · overall 1/5abuseSFF
Courtyard Health and Rehabilitation — McComb, MS · overall 1/5abuseSFF
Grand Trace Health and Rehabilitation — Natchez, MS · overall 1/5
Hilltop Manor Health and Rehabilitation Center — Union, MS · overall 3/5
Middleton Oaks Health and Rehabilitation — Winona, MS · overall 1/5
Starkville Manor Health Care and Rehabilitation Ce — Starkville, MS · overall —/5SFF
The Oaks Rehabilitation and Healthcare Center — Meridian, MS · overall 1/5
Biltmore Haven Nursing and Rehabilitation — Arden, NC · overall 1/5SFF

Listed by state, then facility name — not a ranking. Showing 8 of the 37 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"Can you show me an example care plan, and how are families included when it's created and updated?"

Also worth asking anywhere

"Your weekend nurse staffing is reported below the Virginia midpoint — how does the weekend schedule differ from a weekday?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 56% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Lake Prince Woods, INC	7.4 mi	Suffolk, VA	★★★★★	5/5
Autumn Care of Suffolk	9.0 mi	Suffolk, VA	★★☆☆☆	3/5
Nans Pointe Rehabilitation and Nursing	10.7 mi	Suffolk, VA	★☆☆☆☆	1/5
Riverside Lifelong Health & Rehab Smithfield	13.6 mi	Smithfield, VA	★★★★☆	4/5
Southampton Memorial Hosp	13.7 mi	Franklin, VA	★★★★★	4/5
Northern Cardinal Rehabilitation and Nursing	18.1 mi	Suffolk, VA	★☆☆☆☆	2/5
Courtland Rehabilitation and Healthcare Center	18.7 mi	Courtland, VA	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Windsor →

Facility data as of CMS processing date 2026-08-01. CCN 495347.