Nursing homeActive

Windsor Nursing & Retirement Home

265 N Main St, South Yarmouth, MA 026645083943514120 certified beds · 89 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
24
3201
Penalties · 3 yrs
$12,386
1 fine
Last survey
2026-03-19
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 4
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Massachusetts Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-03-19Standard150CMS-2567 (Care Compare)
2025-01-09Standard080CMS-2567 (Care Compare)
2023-10-12Standard271CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Massachusetts Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-03-19Standard survey · 6 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 225349-20260319-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 225349-20260319-F692
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 225349-20260319-F812
F839Employ staff that are licensed, certified, or registered in accordance with state laws.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 225349-20260319-F839
F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 225349-20260319-F887
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2026-04-28Record 225349-20260319-F582
2025-01-09Standard survey · 8 deficienciesOfficial report
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-19Record 225349-20250109-F584
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-19Record 225349-20250109-F585
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-19Record 225349-20250109-F658
F685Assist a resident in gaining access to vision and hearing services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-19Record 225349-20250109-F685
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-19Record 225349-20250109-F689
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-19Record 225349-20250109-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-19Record 225349-20250109-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-19Record 225349-20250109-F842
2023-10-12Standard survey · 10 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-11-22Record 225349-20231012-F686
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-22Record 225349-20231012-F565
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-22Record 225349-20231012-F585
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-22Record 225349-20231012-F656
F685Assist a resident in gaining access to vision and hearing services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-22Record 225349-20231012-F685
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-22Record 225349-20231012-F695
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-22Record 225349-20231012-F698
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-22Record 225349-20231012-F849
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2023-11-22Record 225349-20231012-F623
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2023-11-22Record 225349-20231012-F625

Penalties & enforcement

DateActionAmountSource
2023-10-12Civil money penalty$12,386CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.63
Facility
Massachusetts
National
Massachusetts 0.65 · National 0.69
Total nurse hours per resident day3.91
Facility
Massachusetts
National
Massachusetts 3.86 · National 3.86
Weekend total nurse hours3.34
Facility
Massachusetts
National
Massachusetts 3.48 · National 3.42
Total nursing staff turnover38%
Facility
Massachusetts
National
Massachusetts 38% · National 46%
Registered nurse turnover27%
Facility
Massachusetts
National
Massachusetts 43% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMassachusettsNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.8%4.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
4.4%3.4%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
19.8%21.4%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.0%1.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
25.9%16.4%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
7.1%5.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
19.2%19.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Fairview Extended Care Services Inc
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Integritus Healthcare Inc
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
Integritus Healthcare Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Integritus Healthcare Management Services Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Brewer, Scott
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Gingras, Marcie Jo
Individual
CORPORATE OFFICERNOT APPLICABLE
Jones, William
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Integritus Healthcare14 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Massachusetts.

No county cost figures on file for Barnstable.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Mayflower Place Nursing & Rehabilitation Center
West Yarmouth
4.1 mi2025-11-142210
Regalcare At Harwich
Harwich
5.2 mi2026-04-072130
Pavilion , The
Hyannis
7.3 mi2025-06-17040
Cape Regency Rehabilitation & Health Care Center
Centerville
8.4 mi2025-05-201320
Cape Cod Post Acute Care
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10.1 mi2025-05-082385
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01