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B
Good

WINDSOR NURSING & RETIREMENT HOME

265 N MAIN ST · SOUTH YARMOUTH, MA 02664

5083943514 · Non profit - Corporation

120 beds88 residents93 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

WINDSOR NURSING & RETIREMENT HOME receives an overall staffing grade of B (Good). With 3.9343 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6104 HPRD, below the recommended 0.75. It is 0.04 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 17.71% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.6104 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.9343hrs/resident/day▲ 0.04
CMS benchmark: 3.48
RN HPRD
0.6104hrs/resident/day▼ 0.07
Recommended: 0.75
Weekend Drop-off
17.71%
4.1416 weekday → 3.4082 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.3794hrs/resident/day
Direct care aides
LPN HPRD
0.8819hrs/resident/day
Licensed practical nurses
Consistency
0.4062std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Barnstable County Average+0.22 HPRD
3.72
03.93 HPRD
vs. Massachusetts State Average+0.06 HPRD
3.87
03.93 HPRD
vs. National Average+0.04 HPRD
3.90
03.93 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
WINDSOR NURSING & RETIREMENT HOME ★
SOUTH YARMOUTH · This facility
—
B
3.93430.6104★☆☆☆☆
MAYFLOWER PLACE NURSING & REHABILITATION CENTER
WEST YARMOUTH
4.1 mi
D
3.98980.3106★★☆☆☆
CAPE REGENCY REHABILITATION & HEALTH CARE CENTER
CENTERVILLE
8.4 mi
C
3.47650.5487★☆☆☆☆
LIBERTY COMMONS
NORTH CHATHAM
11.2 mi
A
4.40450.8806★★★★★
CAPE HERITAGE REHABILITATION & HEALTH CARE CENTER
SANDWICH
18.1 mi
C
3.19140.6573★★☆☆☆
BOURNE MANOR EXTENDED CARE FACILITY
BOURNE
21.1 mi
C
3.64210.4224★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
42
Total Deficiencies
$15,636
Fines Assessed
Jan 9, 2025Health
8 deficiencies cited
▼
Oct 12, 2023Health
10 deficiencies cited· Includes actual harm
▼
Jun 1, 2023Health
1 deficiency cited
▼
Mar 13, 2023Health
2 deficiencies cited
▼
Apr 14, 2021Health
21 deficiencies cited· Includes actual harm
▼

Penalty History

Oct 12, 2023Fine
$12,386
Mar 13, 2023Fine
$3,250
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.