Public Record
Windsor House
Operated by Diversicare Healthcare
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 117
- Avg. residents per day
- 103.7
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 24
- Fire safety findings
- 4
- Inspections on file
- 7
- Last inspection
- 2023-09-20
*CMS
*CMS
*CMS
*CMS
Citations
24 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0600Seriousimmediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0607Seriousimmediate jeopardy
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0740Generalpotential for harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0584Generalpotential for harm
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.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0580Seriousactual harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0625Generalpotential for harm
Notify 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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0584Generalpotential for harm
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.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0692Seriousactual harm
Provide enough food/fluids to maintain a resident's health.
- 0761Generalpotential for harm
Ensure 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.
- 0790Generalpotential for harm
Provide routine and 24-hour emergency dental care for each resident.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0553Generalpotential for harm
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection5 deficiencies
- View inspection reportInspection4 deficiencies
- View inspection reportInspection11 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspectionFire Safety1 deficiency
- View inspection reportInspection3 deficiencies
- View inspection reportInspectionFire Safety3 deficiencies
Ownership
Diversicare Healthcare
46nursing homes nationwide, in CMS records
20 in Alabama, 26 in other states.
Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.
FAQ
Questions and answers
- What is Windsor House?
- Windsor House is a Medicare- and Medicaid-certified nursing home in Huntsville, AL, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 015397.
- What is the CMS rating for Windsor House?
- Windsor House has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Windsor House have?
- Windsor House is certified for 117 beds. It serves an average of 103.7 residents per day.
- How many citations does Windsor House have?
- Windsor House has 24 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Windsor House last inspected?
- Windsor House was last inspected on September 20, 2023. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/015397-windsor-house