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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Windsormeade Williamsburg, Pinnacle Living is a 32-bed nonprofit continuing care community in Williamsburg, Virginia, operated by Virginia United Methodist Homes of Williamsburg, Inc. The community offers independent living, assisted living, and memory care to residents 62 and older, and holds CARF accreditation. The inspection record is notably clean. Across seven inspections since 2021, the facility logged 7 total deficiencies, 1.4 per year against a Virginia average of 9.1, placing it among the top 15% of the state’s assisted living facilities. Four of the seven inspections found no violations; the two complaint investigations were unsubstantiated; and no fines, enforcement actions, or license actions appear in the record. The citations on file are documentation-related: staff recordkeeping, service plan signatures, and medication order forms, with no findings involving resident harm, abuse, or neglect. CMS ratings reflect the same story. The overall rating is 30.9% above the Virginia average, driven by a Health Inspection score 49.3% above the state average and a staffing rating 38.5% above. Nurse staffing averages 6 hours and 7 minutes per resident per day, roughly 28% above Virginia’s average of 4 hours and 47 minutes, ranking the facility 8th out of 85 Virginia SNFs on total adjusted nursing hours. The community operates as a continuing care retirement community with on-site memory care, rehabilitation services, and respite care. CARF accreditation signals a third-party quality review. An active Resident Council gives residents a structured channel for feedback on care and operations. Windsormeade Williamsburg fits residents seeking a nonprofit, continuum-of-care setting in Williamsburg, particularly those planning for memory care or who value high staffing ratios and a consistently clean compliance record.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 8th out of 85 homes in Virginia for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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.
| 2h 4m per day | ▲ 202% State avg: 41m 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.
| 26m per day | ▼ 57% State avg: 1h 0m 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.
| 3h 26m per day | ▲ 62% State avg: 2h 7m 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.
| 4h 46m per day | ▲ 44% State avg: 3h 19m 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.
| 7m per day | ▲ 50% State avg: 5m 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.
| 1h 15m per day | ▲ 168% State avg: 28m per day · National avg: 28m per day |
Similar to the Virginia average: 85.7%Windsormeade Williamsburg, Pinnacle Living is administrated by Mr. Doug Fleegle.
In Virginia, the Department of Social Services (for assisted living facilities) and the Department of Health (for nursing homes) perform the inspections required to maintain state and federal licensing.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Virginia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 7 | 32 | This facility has 78% fewer total deficiencies than a typical Virginia nursing home (7 vs. VA avg 32).↓ 78% better |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 1.4 | 6.4 | This facility has 78% fewer deficiencies per year than a typical Virginia nursing home (1.4 vs. VA avg 6.4).↓ 78% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1 | 2.3 | This facility has 57% fewer deficiencies per inspection than a typical Virginia nursing home (1 vs. VA avg 2.3).↓ 57% better |
Inspections
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 7 | 14 | This facility has 50% fewer total inspections than a typical Virginia nursing home (7 vs. VA avg 14).↓ 50% better |
|
Inspections with violations
Inspections that uncovered at least one regulatory violation.
| 2 | 9 | This facility has 78% fewer inspections with violations than a typical Virginia nursing home (2 vs. VA avg 9).↓ 78% better |
|
Inspection violation rate
Percentage of inspections that resulted in at least one violation.
| 29% | 64% | This facility has 35 percentage points lower inspection violation rate than a typical Virginia nursing home (29% vs. VA avg 64%).↓ 35% better |
Complaints & Investigations
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 2 | 7 | This facility has 71% fewer total complaints than a typical Virginia nursing home (2 vs. VA avg 7).↓ 71% better |
|
Complaints per year
Average complaints per year since 2021.
| 0.4 | 1.4 | This facility has 71% fewer complaints per year than a typical Virginia nursing home (0.4 vs. VA avg 1.4).↓ 71% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Virginia average 4.2
Last Health inspection on Apr 2023
Virginia average 38.4
Virginia average 8.93
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 9 citations resulted from standard inspections.
100% better than Virginia averageVirginia average: 0.4
100% better than Virginia averageVirginia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
99% more staff per resident than Virginia average
11% worse than Virginia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
All 8 LPN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursHelps with daily care and mobility.
All 25 CNA Staff are full-time employees. No contractors work on this role.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,289 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 25 | 0 | 25 | 5,844 | 92 | 100% | 7.2 |
| Registered Nurse | 9 | 0 | 9 | 1,986 | 92 | 100% | 8.7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,104 | 65 | 71% | 7.9 |
| Licensed Practical Nurse | 8 | 0 | 8 | 610 | 55 | 60% | 8.1 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 491 | 62 | 67% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 416 | 52 | 57% | 8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 350 | 55 | 60% | 6.4 |
| Speech Language Pathologist | 0 | 3 | 3 | 292 | 57 | 62% | 3.8 |
| Other Social Services Staff | 1 | 0 | 1 | 244 | 61 | 66% | 4 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 212 | 55 | 60% | 3.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 195 | 29 | 32% | 6.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 170 | 27 | 29% | 6.3 |
| RN Director of Nursing | 1 | 0 | 1 | 126 | 16 | 17% | 7.9 |
| Medical Director | 0 | 1 | 1 | 36 | 12 | 13% | 3 |
| Qualified Social Worker | 0 | 2 | 2 | 29 | 17 | 18% | 1.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 6 | 4 | 4% | 1.5 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.7
34% better than Virginia averageVirginia average: 10.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.3
38% worse than Virginia averageVirginia average: 19.7
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.3%
21% worse than Virginia averageVirginia average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
17.7%
386% worse than Virginia averageVirginia average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
2.5%
54% better than Virginia averageVirginia average: 5.4%
Percent of long-stay residents with a urinary tract infection
3.0%
96% worse than Virginia averageVirginia average: 1.5%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Virginia averageVirginia average: 5.9%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Virginia averageVirginia average: 14.9%
Percent of long-stay residents who received an antipsychotic medication
26.5%
106% worse than Virginia averageVirginia average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
10% better than Virginia averageVirginia average: 91.3%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.6%
22% better than Virginia averageVirginia average: 74.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
41% better than Virginia averageVirginia average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
31% better than Virginia averageVirginia average: 73.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.7%
10% better than Virginia averageVirginia average: 22.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.1%
5% better than Virginia averageVirginia average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Virginia averageVirginia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.3%
12% better than Virginia averageVirginia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
70.1%
39% better than Virginia averageVirginia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
79% of new residents, usually for short-term rehab.
21% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
19Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Windsormeade Williamsburg, Pinnacle Living based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #38 / 85Payroll — State benchmarkedThis home is ranked 38th out of 85 homes in Virginia. Shows total annual staff payroll benchmarked to the Virginia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Williamsburg's city center to Windsormeade Williamsburg, Pinnacle Living's address, calculated via Google Maps.
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Windsormeade Williamsburg, Pinnacle Living is located in WILLIAMSBURG, Virginia.
Here are the financial assistance programs available to residents in Virginia.
The information below is reported by the Virginia Department of Social Services and Department of Health.
| Windsormeade Williamsburg, Pinnacle Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Williamsburg | 32
Facility
32
VA AVG
95
Rank
#341 / 371 |
84.4%
Facility
84.4%
VA AVG
85.7%
Rank
#81 / 311 | -2% | 6.11
Facility
6.11
VA AVG
3.74
Rank
#8 / 85 | +48% | +63% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 89 | 9
Facility
9
VA AVG
38.4
Rank
#5 / 86 | 3.0
Facility
3.0
VA AVG
8.9
Rank
#4 / 86 | - | 27 | - |
80
Facility
80
VA AVG
44
Rank
#46 / 449 | Virginia United Methodist Homes Of Williamsburg, Inc. | $25.8M
Facility
$25.8M
VA AVG
$18.3M
Rank
#40 / 85 | $10.4M
Facility
$10.4M
VA AVG
$6.9M
Rank
#38 / 85 | 40.4%
Facility
40.4%
VA AVG
39.7%
Rank
#53 / 85 | 495402 | ||||
| Our Lady of the Valley |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Roanoke (Gainsboro) | 127
Facility
127
VA AVG
95
Rank
#78 / 371 |
87.4%
Facility
87.4%
VA AVG
85.7%
Rank
#63 / 311 | +2% | 3.79
Facility
3.79
VA AVG
3.74
Rank
#44 / 85 | -42% | +1% | $0
Facility
$0
VA AVG
$54.3k
Rank
#1 / 89 | 14
Facility
14
VA AVG
38.4
Rank
#15 / 86 | 4.7
Facility
4.7
VA AVG
8.9
Rank
#19 / 86 | - | 111 | A+ |
68
Facility
68
VA AVG
44
Rank
#74 / 449 | David Rawlings | $17.2M
Facility
$17.2M
VA AVG
$18.3M
Rank
#56 / 85 | $8.2M
Facility
$8.2M
VA AVG
$6.9M
Rank
#51 / 85 | 47.6%
Facility
47.6%
VA AVG
39.7%
Rank
#35 / 85 | 495357 |
Windsormeade Williamsburg, Pinnacle Living is in the USA neighborhood of WILLIAMSBURG.
Windsormeade Williamsburg, Pinnacle Living has a walk score of 80. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Windsormeade Williamsburg, Pinnacle Living's occupancy is 84%.
Mr. Doug Fleegle is the administrator of Windsormeade Williamsburg, Pinnacle Living.
Windsormeade Williamsburg, Pinnacle Living has 32 beds.
Windsormeade Williamsburg, Pinnacle Living has had 7 recently reported deficiencies.
Yes — there is 1 photo of Windsormeade Williamsburg, Pinnacle Living in the photo gallery on this page.
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