Windsor Rehabilitation & Health Care Center

Name: Windsor Rehabilitation & Health Care Center
Address: 809 WEST BENTON, Windsor, MO, 65360, US
Telephone: 6606473102

809 West Benton, Windsor, MO 65360 · Henry County · 60 certified beds · avg 31 residents/day · certified since Sep 4, 1997

Part of chain: JAMES & JUDY LINCOLN (56 facilities, chain avg rating 2.4★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.10

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

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.

All citations in the current public record (23)

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
Jun 25, 2025	E · Potential for harm, repeated	The facility did not honor residents' right to manage their own money and financial affairs.
Jun 25, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jun 25, 2025	E · Potential for harm, repeated	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.
Jun 25, 2025	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Jun 25, 2025	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jun 25, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jun 25, 2025	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Jun 25, 2025	C · Minimal risk, facility-wide	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Jun 25, 2025	C · Minimal risk, facility-wide	The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials.
Jul 29, 2024	F · Potential for harm, facility-wide	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
Jul 29, 2024	E · Potential for harm, repeated	The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. · from a complaint
Jul 29, 2024	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. · from a complaint
Jul 29, 2024	D · Potential for harm, one-off	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
Dec 14, 2023	F · Potential for harm, facility-wide	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.
Dec 14, 2023	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.
Dec 14, 2023	E · Potential for harm, repeated	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.
Dec 14, 2023	E · Potential for harm, repeated	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.
Dec 14, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Sep 6, 2023	D · Potential for harm, one-off	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
May 21, 2021	E · Potential for harm, repeated	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.
May 21, 2021	E · Potential for harm, repeated	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.
May 21, 2021	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 21, 2021	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 9).

Year	Citations	Worst severity that year
2021	4	E
2023	6	F
2024	4	F
2025	9	E

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)

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

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

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.10	3.66	3.95	top 30% in Missouri; top 36% in the U.S.
Registered Nurse hours	0.49	0.49	0.69	top 37% in Missouri; bottom 37% in the U.S.
Weekend total nurse staffing	3.52	3.22	3.50	top 33% in Missouri; top 41% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.43	0.33	0.48	top 16% in Missouri; top 43% in the U.S.
Total nursing staff turnover (%)	51.5	56.0	45.8	top 37% in Missouri; bottom 33% in the U.S.
RN turnover (%)	0.0	47.8	42.9	—

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 3.44, RN 0.41, weekend 2.95. Staffing rating: 3/5.

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: 2/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Lincoln, James	Individual	5% or Greater Direct Ownership Interest	50%	03/01/2003
Lincoln, Judy	Individual	5% or Greater Direct Ownership Interest	50%	03/01/2003
Bysor, Brandon	Individual	Corporate Director	NOT APPLICABLE	03/15/2023
Drake, Timothy	Individual	Corporate Officer	NOT APPLICABLE	03/15/2023
Merrill, Clara	Individual	W-2 Managing Employee	NOT APPLICABLE	08/17/2015
Stutts, Charlotte	Individual	Corporate Officer	NOT APPLICABLE	03/01/2003
Truman Valley Health Care, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	03/01/2003

Questions to ask on your visit

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

"How are residents' personal funds handled here, and what records can families review?"
"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?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Where do you post your daily staffing numbers, and can I see today's?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"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
Lincoln Community Care Center	14.7 mi	Lincoln, MO	★★★★☆	4/5
Adair Village	16.7 mi	Clinton, MO	★★★☆☆	3/5
Clinton Healthcare and Rehabilitation Center	17.3 mi	Clinton, MO	★☆☆☆☆	3/5
E W Thompson Health & Rehabilitation Center	17.9 mi	Sedalia, MO	★★★☆☆	3/5
Sylvia G Thompson Residence Center, INC	18.0 mi	Sedalia, MO	★☆☆☆☆	2/5
Good Samaritan Care Center	18.2 mi	Cole Camp, MO	★★★★★	5/5
Ridge Crest Nursing Center	18.3 mi	Warrensburg, MO	★☆☆☆☆	2/5
Warrensburg Manor Care Center	18.7 mi	Warrensburg, MO	★★☆☆☆	3/5
Fair View Health Care Center	18.7 mi	Sedalia, MO	★☆☆☆☆	2/5
Country Club Rehab and Healthcare Center	18.9 mi	Warrensburg, MO	★☆☆☆☆	2/5
Johnson County Care Center	19.4 mi	Warrensburg, MO	★★★☆☆	3/5
Rest Haven Health Care Center	19.8 mi	Sedalia, MO	★☆☆☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Windsor →

Facility data as of CMS processing date 2026-08-01. CCN 265683.

The Care File

Visit checklist — Windsor Rehabilitation & Health Care Center

809 West Benton, Windsor, MO 65360 · 6606473102

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "How are residents' personal funds handled here, and what records can families review?"
☐ "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?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265683 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)