Windsor House

Facility Information

License Number: HAL-008-034
Site Address: 336 Rhodes Avenue
Windsor, NC 27983
County:Bertie
Capacity: 60 Beds

Statement of Deficiencies

Statements of Deficiencies (form used by the state to document inspections) are posted for adult care facilities with survey dates beginning November 1, 2014 and deficiencies or violations were identified.

Note:  A Yes under the column, IDR Pending, indicates the facility has requested Informal Dispute Resolution (IDR), a process that gives a facility the opportunity to dispute all or some of the findings of a state inspection. If the Statement of Deficiency is changed as a result of IDR, the web page will be updated.

Inspection TypeDocument TypeInspection DatePagesIDR Pending
ACLS Annual and Complaint Statement of Deficiency with Plan of Correction 2/16/2024 44 No
ACLS Annual and Complaint Statement of Deficiency 2/16/2024 44 No
ACLS Follow-up Statement of Deficiency 1/5/2023 23 No
ACLS Follow-up Statement of Deficiency with Plan of Correction 1/5/2023 23 No
ACLS Follow-up Statement of Deficiency 1/5/2023 23 No
ACLS Annual, Complaint, and Follow-up Statement of Deficiency with Plan of Correction 9/15/2022 41 No
ACLS Annual, Complaint, and Follow-up Statement of Deficiency 9/15/2022 41 No
ACLS Annual Statement of Deficiency 11/18/2021 36 No
ACLS Annual Statement of Deficiency with Plan of Correction 11/18/2021 37 No
ACLS Follow-up No Deficiencies Cited 6/14/2016 No
ACLS Annual Statement of Deficiency with Plan of Correction 3/18/2016 14 No
ACLS Annual Statement of Deficiency 3/18/2016 13 No
Constr Biennial Statement of Deficiency 10/4/2023 7 No
Constr Biennial Follow-up No Deficiencies Cited 5/11/2018 0 No
Constr Biennial Follow-up Statement of Deficiency with Plan of Correction 4/12/2018 6 No
Constr Biennial Follow-up Statement of Deficiency 4/12/2018 2 No
Constr Biennial Statement of Deficiency with Plan of Correction 2/1/2018 6 No
Constr Biennial Statement of Deficiency 2/1/2018 6 No
Constr Biennial Follow-up No Deficiencies Cited 5/31/2016 0 No
Constr Biennial Follow-up Statement of Deficiency with Plan of Correction 4/26/2016 1 No
Constr Biennial Follow-up Statement of Deficiency 4/26/2016 1 No
Constr Biennial Follow-up Statement of Deficiency with Plan of Correction 3/9/2016 2 No
Constr Biennial Follow-up Statement of Deficiency 3/9/2016 2 No
Constr Biennial Statement of Deficiency with Plan of Correction 12/10/2015 4 No
Constr Biennial Statement of Deficiency 12/10/2015 4 No

Star Rating

Star Ratings are based on the results of DHSR inspections and some inspections by the County Department of Social Services (DSS).

StarsScoreIssue DateMeritsDemeritsInspection Type 
Two Stars (2) 84 3/25/2024 3.5 19.5 Annual View Worksheet
Three Stars (3) 94 4/21/2023 2.5 0 Follow-up View Worksheet
Three Stars (3) 91.5 2/6/2023 2.5 5.5 Follow-up View Worksheet
Three Stars (3) 94.5 11/14/2022 3.5 9 Annual View Worksheet
Three Stars (3) 95.5 12/14/2021 3.5 8 Annual View Worksheet
Three Stars (3) 103.5 12/18/2017 3.5 0 Annual View Worksheet
Three Stars (3) 97.25 6/23/2016 3.75 0 Follow-up View Worksheet
Three Stars (3) 93.5 4/19/2016 5.5 12 Annual View Worksheet
Three Stars (3) 105.5 3/1/2016 0 0 Reissue View Worksheet
Three Stars (3) 98 10/7/2014 8 0 Annual View Worksheet
Three Stars (3) 98 4/24/2014 2.5 0 County Monitoring Visit View Worksheet
Three Stars (3) 95.5 12/20/2013 0 10 County Monitoring Visit View Worksheet
Three Stars (3) 105.5 8/12/2013 5.5 0 Annual View Worksheet
Three Stars (3) 93.5 4/9/2013 0 0 Reissue View Worksheet
Two Stars (2) 86 6/28/2012 6 0 Annual View Worksheet
One Star (1) 79.75 10/27/2011 3.75 2 Follow-up View Worksheet
One Star (1) 78 9/16/2011 3.5 15.5 Annual View Worksheet
Three Stars (3) 94.5 3/28/2011 2.5 0 Follow-up View Worksheet
Three Stars (3) 92 2/3/2011 0 10 Complaint View Worksheet
Three Stars (3) 102 9/13/2010 5.5 0 Annual View Worksheet
Three Stars (3) 94 9/13/2010 1.25 0 Follow-up View Worksheet
Three Stars (3) 92.75 10/26/2009 3.75 3.5 Follow-up View Worksheet
Three Stars (3) 92.5 4/15/2009 3.5 11 Annual View Worksheet

Penalties

Penalties imposed during the last 36 months are listed.

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Windsor House HAL-008-034 1/5/2023 10A NCAC 13F .1004(a) Medication Administration Unabated B 11300 6/16/2023 Settlement Agreement