Nursing homeFAID #12618
Windsor Grove Health and Rehabilitation
★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare
Photo via Google · Windsor Grove Health and Rehabilitation
Public record summary
What we can show you for free.
Bed capacity
114
CMS facility ID
495347
Care type
Nursing home
County
Isle of Wight
Facility name
Windsor Grove Health and Rehabilitation
Street address
23352 COURTHOUSE HIGHWAY
City / state / ZIP
Windsor, VA 23487
Phone
(757) 242-4770
Website
About this facility — Windsor Grove Health and Rehabilitation
Windsor Grove Health and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Windsor, Virginia. It is licensed for 114 beds — close to the median for skilled nursing facilities in Virginia (117 beds).
It is one of 1 senior care facility in Windsor and 289 skilled nursing facilities across Virginia. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Windsor Grove Health and Rehabilitation 81 times across 8 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Avardis Health
Ownership type
For profit - Corporation
Registered owners & officers
Windsor Parentco Llc
Direct owner — 100% stake — since 2025
Colburn, Jeffrey
Operational control · Additional disclosable party — since 2025
Hoback, Tiffany
Governing body · Operational control · Additional disclosable party — since 2025
Isle of Wight Holdco Llc
Indirect owner — since 2025
Jones, Tequilla
Operational control · Additional disclosable party — since 2025
Morgan, Daniel
Governing body · Operational control · Additional disclosable party — since 2025
Snf Mgr Llc
Operational control · Additional disclosable party — since 2025
Uptegrow, Rachelle
Operational control · Additional disclosable party — since 2025
Vaop Holdco Llc
Indirect owner — since 2025
Whitley, Nakia
Operational control · Additional disclosable party — since 1972
Regulatory standing
Licensed / certified since
2000-08-01
CMS overall rating
2 of 5 stars
Health deficiencies
20 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-05-01
Nurse staffing
2.7 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$366 per day (≈ $11,130/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
79% Medicaid · 5% Medicare · 16% private/other
Occupancy
96% (fiscal year 2023)
Vs. state median
9% below the VA median of $401/day — full state cost breakdown
Services & coverage
Licensed beds
114
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
CleanNo food-safety or dietary citations in the last three years of federal inspections.
2025-05-01Health inspectionComplaint-triggered20 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-06-26
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-06-26
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-26
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2025-06-26
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-26
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-06-26
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-26
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-26
F-0678
D · No harm found
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-06-26
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-26
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-06-26
F-0687
D · No harm found
Provide appropriate foot care.
Corrected 2025-06-26
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-26
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-06-26
F-0725
F · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-06-26
F-0730
E · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2025-06-26
F-0760
E · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2025-06-26
F-0761
D · No harm found
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.
Corrected 2025-06-26
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-06-26
F-0925
D · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-06-26
2024-11-14Health inspectionComplaint-triggered5 citations
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2025-01-04
F-0691
D · No harm foundFrom a complaint
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2025-01-04
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-01-04
F-0919
E · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-01-04
F-0925
E · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-01-04
5 earlier / fire-safety inspections (56 citations)
2021-03-26Health inspection15 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-05-07
F-0567
D · No harm found
Honor the resident's right to manage his or her financial affairs.
Corrected 2021-05-07
F-0574
D · No harm found
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2021-05-07
F-0602
D · No harm found
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2021-05-07
F-0622
D · No harm found
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2021-05-07
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2021-05-07
F-0625
D · No harm found
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.
Corrected 2021-05-07
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2021-05-07
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-07-26
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2021-05-07
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2021-05-07
F-0761
D · No harm found
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.
Corrected 2021-05-07
F-0773
D · No harm found
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2021-05-07
F-0775
D · No harm found
Keep complete, dated laboratory records in the resident's record.
Corrected 2021-05-07
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2021-05-07
2019-06-27Health inspection22 citations
F-0561
E · No harm found
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2019-08-06
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2019-08-06
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2019-02-26
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2019-08-06
F-0584
D · No harm found
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.
Corrected 2019-08-06
F-0600
D · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2019-08-06
F-0607
D · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2019-08-06
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2019-08-06
F-0610
E · No harm found
Respond appropriately to all alleged violations.
Corrected 2019-08-06
F-0622
E · No harm found
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2019-08-06
F-0625
E · No harm found
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.
Corrected 2019-08-06
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2019-08-06
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-08-06
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-08-06
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-08-06
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-08-06
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2019-08-06
F-0727
D · No harm found
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.
Corrected 2019-08-06
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2019-08-06
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2019-08-06
F-0761
D · No harm found
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.
Corrected 2019-08-06
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2019-08-06
2025-05-01Fire-safety inspection4 citations
E-0006
C · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-06-26
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-10-17
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2025-10-17
K-0761
E · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-10-17
2021-03-26Fire-safety inspection8 citations
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2021-06-02
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2021-06-02
K-0345
E · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-06-02
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-06-02
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2021-06-02
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2021-06-02
K-0521
E · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-06-02
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-06-02
2019-06-27Fire-safety inspection7 citations
E-0015
C · No harm found
Address subsistence needs for staff and patients.
Corrected 2019-08-06
E-0037
C · No harm found
Establish staff and initial training requirements.
Corrected 2019-08-06
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2019-08-12
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-08-12
K-0521
E · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-08-12
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-08-12
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2019-08-12
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 495347.
Visitor reviews
What people say on Google.
4.7★★★★★35 ratings on Google
★Regina Charles · 2026-05-16 · via Google“That was an accident previously meant to send a one star rating. As far as I can determine the facility is not the best and the care is minimal at best. The reviews I’m reading must be from family members of the staff and friends. Initially I thought the care was adequate, however after getting more familiar with them it is subsequent and the staff is not as they present themselves initially. It i…”
★★★★★Sheri Jett · 2025-10-07 · via Google“I cannot say enough good things about Windsor Grove Health and Rehab! From the moment you walk in, you’re greeted with kindness and genuine care. The staff goes above and beyond to make residents feel comfortable, respected, and well-cared for. The nursing team is attentive and compassionate, always taking time to answer questions and provide updates. Therapy services are excellent—they work pati…”
★Holly Ceballos · 2026-02-26 · via Google“This place is ran down and no help! When my mom was there after surgery we were told they don’t do NOTHING but therapy when they are suppose to help. They didn’t give her a pillow, they put her in a diaper and told her to use that because they didn’t want to help her to the toilet (she was trying to get up) they wouldn’t clean her! they brought in food and 15 mins later came around and picked it b…”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 81 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
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Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered