The reviews present a mixed but predominantly negative picture of Windsor Country Drive Care Center, with a few positive notes around therapy availability and courteous interactions with family members. Several reviewers acknowledged that therapy services (PT/OT) are available and that meals are provided, and a minority described staff as friendly or responsive when problems were raised. However, the bulk of comments focus on serious operational and care-quality issues that create safety, dignity, and comfort concerns for residents.
Care quality and safety are the most frequently cited problems. Multiple reviewers reported neglectful incidents including bed sores, residents being left soiled overnight, and not being given water. There are accounts of call buttons being out of reach and nursing staff failing to respond unless repeatedly reminded. Some reviewers explicitly connected these failures to hospitalizations and to increased infection risk, noting inadequate illness testing and specific concern about COVID-19 exposure. Collectively, these reports indicate inconsistent basic care, poor monitoring, and lapses in clinical oversight that are particularly troubling for anyone considering the center for post-acute rehabilitation or for residents with high care needs.
Staffing and staff training emerge as a major theme. While some family-facing staff were described as polite and, in some cases, responsive, multiple reviewers described direct-care staff as untrained, disengaged, or slow to respond — even using terms like 'zombies.' Several comments indicate that nurses and aides require prompting to meet basic needs, suggesting either staffing shortages, poor training, low morale, or inadequate supervision. This inconsistency — polite communication with families alongside reports of neglectful resident care — points to uneven performance across shifts or roles.
Facility condition and cleanliness are also mixed but concerning. A few reviewers said the facility was generally clean aside from a persistent urine odor concentrated in the carpeting. Others reported that rooms were not clean at all and that the facility felt overcrowded, with more beds per room than acceptable. Overcrowding and strong odors reduce resident comfort and dignity and may reflect operational pressures to increase census or revenue per space.
Dining and therapy: reviewers agree that meals are provided, but many described the food quality as poor or inconsistent. Therapy services (PT/OT) are available and mentioned positively; however, several reviewers noted that therapy benefits are undermined when nursing staff do not consistently follow through with patient needs or when rehabilitation expectations are unmet. One recurring theme is that families often must remind nursing staff about therapy- or care-related tasks for the patient to receive timely attention.
Management, administration, and financial concerns were also noted. Reviewers reported management neglect regarding Medicare payments and expressed a perception that changes have been profit-driven — for example, increasing the number of beds per room — which many felt would negatively affect resident comfort and care quality. There is a pattern of distrust toward leadership, with reviewers warning that the facility appears focused on revenue rather than resident well-being, and suggesting conditions may worsen if administrative practices are not corrected.
Patterns and overall sentiment: the overall sentiment skews negative with some isolated positives. The most serious and recurring issues are neglect (bedsores, soiling, lack of hydration), inconsistent responsiveness from nursing staff, cleanliness and odor problems, and management practices perceived as profit-driven that reduce resident comfort. The presence of PT/OT and occasional friendly staff are not sufficient, according to many reviewers, to overcome systemic problems affecting safety and daily care.
If you are evaluating this facility, consider these practical steps: visit unannounced at different times and observe staffing levels and responsiveness; inspect resident rooms for cleanliness, odors, and privacy (number of beds per room); ask for documentation on bed sore prevention, infection control protocols, and recent hospitalization rates; verify Medicare billing status and ask management to explain any payment issues; observe a mealtime and ask about menu variety and accommodations; and speak directly with families of current residents about recent experiences. These reviews indicate that due diligence and direct observation are essential before making placement decisions, especially for residents who require reliable nursing care or rehabilitation services.
