Nursing HomeInspections

Windsor Nursing & Retirement Home

Nursing home in South Yarmouth, MA

Medicare & Medicaid certified2★ overall (CMS)

Call (508) 394-3514Send a messageMap ↗

Public-record details

Address
265 N Main St, South Yarmouth, MA 02664
Phone
(508) 394-3514
Listed under
Nonprofit
Medicare CCN
225349
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measures rating
1 of 5
Certified beds
120
Average residents per day
89
Ownership
Nonprofit, corporation
Legal business name
South Yarmouth Management Systems INC
Chain
Integritus Healthcare (14 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 225349. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 19, 2026. CMS lists 24 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 12, 2023 to Mar 19, 2026): 0 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 19, 2026Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		B
Potential for minimal harm, pattern
Mar 19, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 19, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 19, 2026Educate 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…
Infection Control		D
Potential for more than minimal harm, isolated
Mar 19, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Mar 19, 2026Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration		E
Potential for more than minimal harm, pattern
Jan 9, 2025Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Jan 9, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jan 9, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 9, 2025Honor 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.
Resident Rights		E
Potential for more than minimal harm, pattern
Jan 9, 2025Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Jan 9, 2025Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 24. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $12,386 in the last three years.

Oct 12, 2023Fine: $12,386

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.91 hours
Registered nurse (RN) time per resident per day
0.63 hours
Nurse aide time per resident per day
2.42 hours
Total nurse staffing on weekends
3.34 hours
Nursing staff turnover (yearly)
38%
RN turnover (yearly)
27%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.