Windsor House

Overview of Windsor House

Windsor House is a 60-bed assisted living and memory care community at 336 Rhodes Avenue, Windsor, Bertie County, North Carolina,, rated 0 out of 5 overall by the North Carolina Department of Health and Human Services, Division of Health Service Regulation, and ranked 135th (tied) among 138 homes statewide. The facility frames itself as an affordable option for seniors who cannot access traditional assisted living costs, with 24-hour staffing, a Special Care Unit, medication management, insulin administration, and homemade meals confirmed. Neither Medicaid nor Medicare is accepted. Occupancy stands at 47 of 60 beds (78 percent), in line with the North Carolina average of 76.4 percent.

Windsor sits in rural Bertie County in northeastern North Carolina; Vidant Bertie Hospital is the primary nearby acute-care resource.

A 0-star rating and a ranking of 135th out of 138 homes are the first signals families should weigh. Fourteen inspections from December 2015 through August 2025 average 9 deficiencies per year, 73 percent above the North Carolina benchmark of 5.2. Medication management failures and recurring fire safety deficiencies run the length of the record without any clear corrective arc. The most recent inspection, an annual survey and complaint investigation concluded August 7, 2025, found 6 deficiencies: hazardous items accessible to all 47 Special Care Unit residents including pain-relieving patches and batteries; inadequate supervision of 2 residents with documented smoking behaviors; failure to notify providers of swallowing difficulties and abnormal blood sugar for 3 residents; insulin and overactive bladder medication administration errors; and a resident self-administering pain medication without a physician order.

The February 2024 annual inspection was triggered after a resident with dementia eloped and was found sitting in a staff car; 6 deficiencies followed, including the elopement supervision failure, a 12 percent medication error rate, inaccurate controlled substance records, and failure to initiate Health Care Personnel Registry reports for a resident with a bruise of unknown origin. A March 2024 biennial construction follow-up found the fire sprinkler system non-operational since December 11, 2023.

The October 2023 biennial survey cited 9 deficiencies including malfunctioning wanderer alarms, absence of a required resident washer and dryer, exposed electrical hazards, and non-functioning exhaust fans, the last two recurring through the May 2025 follow-up. A January 2023 follow-up documented a resident receiving insulin with blood sugar readings of 597 and too-high-to-register. The September 2022 annual inspection found a 24 percent medication error rate including discontinued medications still administered and falsified records.

Earlier inspections from 2015 through 2018 documented magnetic exit locks not releasing on alarm and recurring fire door and sprinkler failures.

No fines or license suspensions appear in the available record.

Families should ask administrators directly about corrective actions following the 2024 elopement, current sprinkler system status, and the facility’s medication audit and error-reduction protocols.

Facility Direct Line (888) 969-3694 support@windsorhousetx.com

Staffing hours breakdown

Hours per resident per day — compared to state averages

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	27m per day	▼ 29% State avg: 38m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	35m per day	▼ 26% State avg: 47m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 41m per day	▼ 33% State avg: 2h 30m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 18m per day	▼ 30% State avg: 3h 17m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	2m per day	■ Avg State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	16m per day	▼ 27% State avg: 22m per day · National avg: 28m per day

60-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 37 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

78%

Similar to the North Carolina average: 76.4%

Occupied beds

47 / 60

Average occupied beds in North Carolina homes 85 beds

StatusActive

CountyBertie

License NumberHAL-008-034

Licensed Nurses/CNAs

24-Hour Staffing

Staff-to-Resident Ratio: Low Resident to Caregiver Ratio

Home Care

Pets not allowed

24 Hour Care

Homemade Meals

Medication Management & Delivery

Diabetic Care And Insulin Administration

Low Resident To Caregiver Ratio

Scheduled Daily Activities

Low Cost Beds Available

Activities

Operating Hours24 hours a day, 7 days a week

Since 2015 · 11 years of data 72 deficiencies 38 inspections 0 penalties 31 inspections with deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2015 vs. North Carolina state average

Overall vs. NC average

Latest Inspection August 7, 2025 Annual Inspection

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	NC Average	vs. NC Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	72	46	This facility has 57% more total deficiencies than a typical North Carolina assisted living residence (72 vs. NC avg 46).↑ 57% worse
Deficiencies per year Average deficiencies per year since 2015.	6.5	4.2	This facility has 55% more deficiencies per year than a typical North Carolina assisted living residence (6.5 vs. NC avg 4.2).↑ 55% worse
Deficiencies per inspection Average deficiencies per inspection.	1.9	2.2	This facility has 14% fewer deficiencies per inspection than a typical North Carolina assisted living residence (1.9 vs. NC avg 2.2).↓ 14% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	NC Average	vs. NC Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	38	21	This facility has had 81% more total inspections than the North Carolina average (38 vs. NC avg 21). More inspections can mean more regulatory scrutiny rather than worse care.↑ 81% more
Inspections with deficiencies Inspections that resulted in at least one regulatory deficiency.	31	19	This facility has 63% more inspections with deficiencies than a typical North Carolina assisted living residence (31 vs. NC avg 19).↑ 63% worse
Inspection deficiency rate Percentage of inspections that resulted in at least one deficiency.	82%	90%	This facility has 8 percentage points lower inspection deficiency rate than a typical North Carolina assisted living residence (82% vs. NC avg 90%).↓ 8% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

August 7, 2025 annual inspection found six deficiencies including unsecured hazardous items, inadequate supervision of smoking residents, and multiple medication administration errors.
Follow-up inspections from March to May 2025 repeatedly cited lack of current fire and building safety inspection reports and non-operational fire sprinkler and exhaust ventilation systems.
No immediate jeopardy or fines were reported, and some construction-related deficiencies were corrected on site during prior surveys.

Show Inspection Reports

Ratings

Overall Rating

0 / 5

health inspections, staffing, and quality measures

Division Of Health Service Rating

1/4

Scores

DHSR Score

79.50 / 200

Quality score (0-200). Higher scores indicate better performance in inspections and compliance.

Long-stay resident measures

Above average

Hospitalizations per 1,000 days 1.71

15% better than State average

State average: 2.00

ED visits per 1,000 days 2.47

38% worse than State average

State average: 1.79

Short-stay resident measures

Significantly below average

Re-hospitalized after SNF stay 27.1%

11% worse than State average

State average: 24.5%

Emergency department visits 13.9%

21% worse than State average

State average: 11.5%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 19.2%

64% worse than State average

State average: 53.7%

Successful return to home or community 47.4%

6% worse than State average

State average: 50.6%

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The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.


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Is Windsor House in a walkable area?

Windsor House has a walk score of 37. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Windsor House?

According to NC state health department records, Windsor House's license number is HAL-008-034.

What is the occupancy rate at Windsor House?

Windsor House's occupancy is 78%.

Are pets allowed at Windsor House?

No, Windsor House has a no-pet policy.

How many beds does Windsor House have?

Windsor House has 60 beds.

Are there photos of Windsor House?

Yes — there are 2 photos of Windsor House in the photo gallery on this page.

What is the address of Windsor House?

Windsor House is located at 336 Rhodes Avenue Windsor, Nc 27983, Windsor, NC 27983.

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Overview of Windsor House

Staffing hours breakdown

About this community

Occupancy

License Details

Staffing & Medical

Additional Services

Additional Policies & Features

Amenities & Lifestyle

Contact Windsor House

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Performance summary