Windsor Nursing & Retirement Home

Nursing Home · South Yarmouth, MA

CMS overall rating 2/5 Non profit - Corporation

CMS certification number225349

Contact & location

265 N Main ST
South Yarmouth, MA 02664
Barnstable County
Phone
(508) 394-3514
ZIP code
02664 – all care providers

Open in Google Maps

Facility details

Certified beds
120
Residents per day
88.6 (74% occupied)
Ownership
Non profit - Corporation
Legal name
South Yarmouth Management Systems INC
Chain
Integritus Healthcare (14 facilities, avg 2.8★)
Medicare certified since
July 1, 1989
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.0
Health inspections★★★★★ 3/5
State avg 3.0
Staffing★★★★★ 4/5
State avg 3.1
Quality measures★★★★★ 1/5
State avg 3.3
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.91 (state 3.86 · U.S. 3.86)
Registered nurses (RN)
0.63 (state 0.65 · U.S. 0.69)
Licensed practical nurses
0.86 (state 0.95 · U.S. 0.86)
Nurse aides
2.42 (state 2.26 · U.S. 2.32)
Weekend total
3.34 (state 3.48 · U.S. 3.42)
Nursing staff turnover
37.7 (state 38.2 · U.S. 45.8)%
RN turnover
26.7 (state 42.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
March 19, 2026
Health deficiencies (last cycle)
6.0 (state 7.2 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
24 health · 7 fire safety · includes actual harm
DateCitationSeverityStatus
2026-03-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-04-28
2026-03-19 Employ staff that are licensed, certified, or registered in accordance with state laws.
F0839 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-04-28
2026-03-19 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-28
2026-03-19 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-28
2026-03-19 Educate 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 member's vaccination status.
F0887 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-28
2026-03-19 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2026-04-28
2025-01-09 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.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-02-19
2025-01-09 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-02-19
2025-01-09 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-02-19
2025-01-09 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-02-19
2025-01-09 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-02-19
2025-01-09 Honor 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.
F0585 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-19
2025-01-09 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-19
2025-01-09 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-19
2023-10-12 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2023-11-22
2023-10-12 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-11-22
2023-10-12 Honor 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.
F0585 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-11-22
2023-10-12 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-11-22
2023-10-12 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-22
2023-10-12 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-22
2023-10-12 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-22
2023-10-12 Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
F0849 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-22
2023-10-12 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2023-11-22
2023-10-12 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.
F0625 · Resident Rights Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2023-11-22

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $12,386 in fines.

DateTypeAmount
2023-10-12Fine$12,386

Ownership & management

NameRoleSince
Fairview Extended Care Services INC (organization)5%+ Direct Ownership Interest · 100%
Integritus Healthcare INC (organization)5%+ Indirect Ownership Interest · 100%
Gingras, Marcie Jo (individual)Corporate Officer · NOT APPLICABLE
Jones, William (individual)Corporate Officer · NOT APPLICABLE
Integritus Healthcare INC (organization)Operational/managerial Control · NOT APPLICABLE
Integritus Healthcare Management Services INC (organization)Operational/managerial Control · NOT APPLICABLE
Brewer, Scott (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Windsor Nursing & Retirement Home?

Windsor Nursing & Retirement Home has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Massachusetts.

How many beds does Windsor Nursing & Retirement Home have?

It has 120 certified beds and cares for about 89 residents per day.

Has Windsor Nursing & Retirement Home been fined?

Yes. CMS lists 1 penalty totaling $12,386 in the last three years.

Who owns Windsor Nursing & Retirement Home?

It is part of Integritus Healthcare and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Windsor Nursing & Retirement Home?

(508) 394-3514. The facility is located at 265 N Main ST, South Yarmouth, MA 02664.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.