Windsor Rehabilitation and Healthcare Center

    1306 S King St, Windsor, NC, 27983
    3.9 · 54 reviews
    • Independent living
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Compassionate staff but unsafe care

    I had a very mixed experience. I'm grateful for several compassionate staff (admissions directors, Ms. Lisa, therapists and some nurses) and the strong rehab, activities and improving new administration - they helped my loved one regain mobility and stay connected. But chronic understaffing, slow call-button response, poor hygiene (residents left soiled, bedsores, untreated infection), rude/unqualified staff at times, cleanliness lapses and limited phone access made parts of the stay unsafe and unacceptable. I appreciate the caring people there, but I can't recommend this facility until staffing, basic care, and communication are reliably fixed.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.87 · 54 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.2
    • Staff

      3.7
    • Meals

      2.0
    • Amenities

      3.0
    • Value

      3.9

    Pros

    • Compassionate and genuinely caring staff (many positive reports)
    • Strong rehabilitation and physical therapy program with measurable improvement
    • Supportive therapists who communicate with families and encourage residents
    • Engaged activities program (bingo, birthday celebrations) and inclusive coordinators
    • Dedicated activity coordinator (Ms. Lisa) noted for going above and beyond
    • Admissions team described as professional and helpful (Tina, new Admissions Director)
    • Facility can accommodate dialysis patients, respite care, and IV antibiotics
    • Large wheelchair-accessible rooms and attractive outdoor setting
    • Housekeeping and some nursing staff praised for cleanliness and pleasant smell
    • Staff willing to help residents with personal devices and communication (example: Michael)
    • Positive administrative changes and renewed focus on CARE & customer service
    • Warm, homey atmosphere and sense of community reported by some families

    Cons

    • Slow or delayed responses to call bells (reports of 30–60 minute waits)
    • Understaffing, especially on weekends and overnight shifts
    • Allegations of neglect: residents left in soiled diapers or bodily fluids for hours
    • Serious hygiene and wound care failures (reports of stage 4 bedsores, untreated infections)
    • Inconsistent staff behavior: reports of rudeness, cursing, yelling, and unprofessional conduct
    • Inadequate attention to nonverbal or immobile residents and unsafe roommate situations
    • Medication and monitoring concerns (reports of no vitals checks; pills handed out without assessment)
    • Limited or unreliable resident/family communication options (single shared phone, lost chargers, delays)
    • Mixed cleanliness reports — some praise but multiple accounts of rooms/clutter needing improvement
    • Meals and dining quality reported as needing improvement
    • High variability in care quality — experiences range from excellent to unacceptable
    • Some reviewers advise avoiding the facility due to severe negative incidents

    Summary review

    Overall sentiment across reviews is mixed, with strong and repeated praise for the facility's rehabilitation services and certain staff members, set alongside serious and recurring complaints about staffing levels, timely care, hygiene, and consistency of care. Many families and residents describe the therapy team and activity staff as outstanding — citing physical therapy as a ‘‘blessing,’’ measurable mobility improvements, clear communication from therapists, and an encouraging, resident-focused rehabilitation environment. Specific staff and administrators (for example, an Admissions Director named Tina, an activity coordinator Ms. Lisa, and a staff member named Michael) are repeatedly called out for professionalism, compassion, and hands-on problem solving. Several reviewers describe the facility as clean, with pleasant smells, good housekeeping, large accessible rooms, and attractive outdoor sidewalks, and they report that the facility can handle medical needs such as dialysis, IV antibiotics, and respite care.

    However, the positive accounts are counterbalanced by multiple serious negative reports indicating inconsistent care and potential neglect. A frequent and urgent theme is understaffing — especially on weekends and less-supervised shifts — which reviewers link directly to delayed call-button responses (some reporting 30–60 minute waits), residents being left in soiled diapers for extended periods, and insufficient attention to nonverbal or immobile residents. Several reviews describe alarming situations: prolonged exposure to bodily fluids, stage 4 bedsores, untreated infections with concerns expressed about possible consequences (including mention of potential amputation), and residents left unattended or immobile for hours. These incidents indicate systemic failures in hygiene, wound care, and basic supervision for a subset of residents.

    Staff conduct and qualification are another area of stark contrast. While many staff are described as kind, attentive, and genuinely caring, other reviews report rude behavior, staff cursing in hallways, yelling at residents, and complaints about unqualified or inattentive personnel. Medication administration and basic monitoring also came under criticism, with reports that vitals were not being checked and pills were handed out without assessment. These issues compound concerns about resident safety and clinical oversight. Communication and access are mixed: some families appreciated frequent update calls and the ability to do video calls using personal phones, while others found communication poor — citing a single facility phone, lost chargers, and delays in reconnecting residents to family, and instances where family could not reach their loved one for hours.

    Facility operations and management appear to be in transition. Several reviewers mention a new admissions director and new administrative team that have instituted a renewed focus on CARE and customer service, and multiple comments indicate improvement since leadership changes. Positive statements about administrative responsiveness, tours for families, and the ability to accommodate complex medical needs suggest management is taking steps to address problems. Still, the presence of both glowing and severe negative narratives suggests improvements are uneven and may not yet be fully implemented across all shifts and care areas.

    Activities, social inclusion, and community life are clear strengths in many reviews. Residents and families frequently praise the activity program (bingo, celebrations) and the inclusive attitude fostered by staff, creating a sense of belonging for many residents. These elements contribute to a warm, home-like atmosphere for those who experienced good care.

    In summary, Windsor Rehabilitation and Healthcare Center presents a polarized portrait. For some residents the facility provides high-quality rehabilitation, compassionate staff, an active community life, and professional admissions and therapy teams that support recovery and family connection. For others the facility falls short in basic caregiving duties — particularly when staffing is thin — leading to delayed responses, hygiene and wound-care failures, and troubling reports of neglect. Prospective residents and families should weigh both the strong rehabilitation and activity offerings and the documented concerns about staffing and inconsistent care. When evaluating the facility in person, families should ask specific questions about staffing ratios (especially on weekends and nights), call-button response times, wound and skin-care protocols, medication and vital-sign monitoring practices, procedures for nonverbal residents and roommate assignments, infection control history, and how new administrative changes are being enforced across all shifts.

    Location

    Map showing location of Windsor Rehabilitation and Healthcare Center

    About Windsor Rehabilitation and Healthcare Center

    Windsor Rehabilitation and Healthcare Center sits on 6.7 acres of green land in Windsor, North Carolina, just quiet and spread out enough with its 28,342-square-foot building and 82 beds made for comfort and care, and it's the kind of place that does follow Fair Housing and Equal Opportunity guidelines without question. The center focuses on skilled nursing, rehabilitation, and both short-term and long-term care for people who need regular help, offering round-the-clock nursing care and daily support like bathing, dressing, eating, medication reminders, and managing different health needs, which is especially important for folks who sometimes need extra help. They're run by Brian Center Health & Rehabilitation/Windsor and are a proud member of YAD Healthcare, where they've pledged to meet high standards in nursing care and show real compassion day in and day out. The team works under the supervision of a physician and the administrator, Tracie Sweard, and they take care of people with different needs-including those who need subacute post-operative care or orthopedic rehabilitation to heal up after hospital stays, which can sometimes help people get back on their feet and maybe even stay out of the hospital longer. Their skilled nursing program includes trach care, where nurses check and clean tubes and keep careful watch over breathing, and they offer a full mix of services for medicine storage and delivery too. Residents get to take part in a variety of activities aimed at supporting their well-being, not just physically but emotionally too, and the facility has all the basics for a comfortable life-good beds, supportive surroundings, and staff who try to create a warm, welcoming environment. Windsor Rehabilitation and Healthcare Center is approved for Medicare and Medicaid, so people who need those programs can count on their facility meeting federal standards, and the place is really built around the idea of letting every resident live with as much independence and dignity as possible, even when they need help with daily tasks. No one can say for certain what day-to-day life will be like without seeing for themselves, but the facts point to a facility that focuses on compassionate, personalized care for seniors or anyone needing skilled nursing and rehabilitation in the Windsor area.

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