Public Record
Windsor Healthcare & Rehab Center
Operated by James & Judy Lincoln
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 60
- Avg. residents per day
- 31.8
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 23
- Fire safety findings
- 10
- Inspections on file
- 8
- Last inspection
- 2025-06-25
*CMS
*CMS
*CMS
*CMS
Citations
23 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.
- 0567Generalpotential for harm
Honor the resident's right to manage his or her financial affairs.
- 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.
- 0628Generalno actual harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0680Generalno actual harm
Ensure the activities program is directed by a qualified professional.
- 0732Generalpotential for harm
Post nurse staffing information every day.
- 0803Generalpotential for harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- 0883Generalpotential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- 0925Generalpotential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0728Generalpotential for harm
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0582Generalpotential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 0692Generalpotential for harm
Provide enough food/fluids to maintain a resident's health.
- 0727Generalpotential for harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0700Generalpotential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
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 reportInspection9 deficiencies
- View inspection reportInspectionFire Safety2 deficiencies
- View inspection reportInspection4 deficiencies
- View inspection reportInspectionFire Safety5 deficiencies
- View inspection reportInspection5 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection4 deficiencies
- View inspection reportInspectionFire Safety3 deficiencies
Ownership
James & Judy Lincoln
56nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Windsor Healthcare & Rehab Center?
- Windsor Healthcare & Rehab Center is a Medicare- and Medicaid-certified nursing home in Windsor, MO, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 265683.
- What is the CMS rating for Windsor Healthcare & Rehab Center?
- Windsor Healthcare & Rehab Center 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 Healthcare & Rehab Center have?
- Windsor Healthcare & Rehab Center is certified for 60 beds. It serves an average of 31.8 residents per day.
- How many citations does Windsor Healthcare & Rehab Center have?
- Windsor Healthcare & Rehab Center has 23 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Windsor Healthcare & Rehab Center last inspected?
- Windsor Healthcare & Rehab Center was last inspected on June 25, 2025. 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/265683-windsor-healthcare-rehab-center