Federal inspection record · CMS data as of October 1, 2026
Windsor Point Continuing Care
1221 Broad Street, Fuquay-Varina, NC · (919) 552-4580
- CMS high-performer trophy
- Certified beds
- 45
- Residents per day
- 26
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare
- Certified since
- March 17, 2000
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Windsor Point Continuing Care carries 4 inspection points. That is fewer than 90% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
10 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- B
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- C
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Administration3F
- F
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- F
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Resident Rights1D
- D
Keep residents' personal and medical records private and confidential.
Quality of Life and Care1D
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services1D
- D
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Inspection history
2025-12-31
0 health deficiencies · 1 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-11-27
5 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-10-26
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Administration (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 22 min of nursing staff time a day, 53 min of it from a registered nurse.
This home
4 h 22 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 25% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.6 pts better | 100.0% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better | 100.0% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same | 3.4% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.2 pts better | 3.6% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.1 pts better | 3.0% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication16.6 pts worse | 37.7% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.4 pts worse | 17.3% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased8.3 pts worse | 23.3% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts worse | 2.4% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.6 pts worse | 31.5% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts better | 4.5% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15 pts better | 96.5% | 81.5% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication3.1 pts worse | 4.5% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.8 pts better | 93.9% | 81.1% | 80.1% |
·
Who owns and runs it
65 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Evans, Toni | 5% Or Greater Direct Ownership Interest · Individual | 6% | 2 facilities |
| Miller, William | 5% Or Greater Direct Ownership Interest · Individual | 6% | 18 facilities |
| Sherrill, Debbie | 5% Or Greater Direct Ownership Interest · Individual | 6% | 2 facilities |
| Bhagalia-Patel, Parul | Adp Of The SNF · Individual | 0% | 1 facilities |
| Buie, Kathyrn | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Buie, Kathyrn | Adp Of The SNF · Individual | 0% | 1 facilities |
| Devine, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Devine, Michael | Adp Of The SNF · Individual | 0% | 1 facilities |
| Evans, Kisa | Corporate Officer · Individual | 0% | 3 facilities |
| Evans, Riley | Direct Ownership Interest · Individual | 0% | 3 facilities |
| Evans, Riley | 5% Or Greater Mortgage Interest · Individual | 0% | 3 facilities |
| Evans, Riley | 5% Or Greater Security Interest · Individual | 0% | 3 facilities |
| Evans, Riley | Corporate Director · Individual | 0% | 3 facilities |
| Evans, Robert | Direct Ownership Interest · Individual | 0% | 6 facilities |
| Evans, Robert | 5% Or Greater Mortgage Interest · Individual | 0% | 6 facilities |
| Evans, Robert | 5% Or Greater Security Interest · Individual | 0% | 6 facilities |
| Evans, Robert | Corporate Officer · Individual | 0% | 6 facilities |
| Evans, Robert | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Evans, Robert | Adp Of The SNF · Individual | 0% | 6 facilities |
| Evans, Toni | 5% Or Greater Mortgage Interest · Individual | 0% | 2 facilities |
| Evans, Toni | 5% Or Greater Security Interest · Individual | 0% | 2 facilities |
| Evans, Toni | Adp Of The SNF · Individual | 0% | 2 facilities |
| Eventus Wholehealth Pllc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Greenbrier LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Johnson, Ethan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Johnson, Josh | Adp Of The SNF · Individual | 0% | 1 facilities |
| Jones, Sharon | Corporate Director · Individual | 0% | 1 facilities |
| Jones, Sharon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Jones, Sharon | Adp Of The SNF · Individual | 0% | 1 facilities |
| Jonhson, Florence | Direct Ownership Interest · Individual | 0% | 2 facilities |
| Jonhson, Florence | 5% Or Greater Mortgage Interest · Individual | 0% | 2 facilities |
| Jonhson, Florence | 5% Or Greater Security Interest · Individual | 0% | 2 facilities |
| Jonhson, Florence | Corporate Officer · Individual | 0% | 2 facilities |
| Jonhson, Florence | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Jonhson, Florence | Adp Of The SNF · Individual | 0% | 2 facilities |
| Lanzetta, Sharon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lanzetta, Sharon | Adp Of The SNF · Individual | 0% | 1 facilities |
| Legacy Healthcare Services Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Mays, Elizabeth | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mcdougald, Anna | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mcdougald, Jr., Andrew | Adp Of The SNF · Individual | 0% | 1 facilities |
| Miller, Rosemary | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Miller, Rosemary | 5% Or Greater Mortgage Interest · Individual | 0% | 1 facilities |
| Miller, Rosemary | 5% Or Greater Security Interest · Individual | 0% | 1 facilities |
| Miller, William | 5% Or Greater Mortgage Interest · Individual | 0% | 18 facilities |
| Miller, William | 5% Or Greater Security Interest · Individual | 0% | 18 facilities |
| Miller, Zachary | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 4 facilities |
| Moore, Falon | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Nutrition Plus Of Greenville Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Pendergrass, Kelly | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pickford, Sarah | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pope, Tammy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pope, Tammy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Robinson, Beth | Adp Of The SNF · Individual | 0% | 1 facilities |
| Roderick, Maegan | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Seaverson, Lori | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Seaverson, Lori | Adp Of The SNF · Individual | 0% | 1 facilities |
| Seth A Ward Cpa Pllc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Sherrill Investment Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Sherrill, Debbie | 5% Or Greater Mortgage Interest · Individual | 0% | 2 facilities |
| Sherrill, Debbie | 5% Or Greater Security Interest · Individual | 0% | 2 facilities |
| Stan Johnson And Associate LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Stan Johnson And Associate LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Stan Johnson And Associate LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Windsor Point Pharmacy, Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Services3F
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems3F
- F
Have power receptacles that are properly grounded.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Smoke2F
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
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Other homes nearby
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Fuquay-Varina Health and Rehabilitation Center
Fuquay Varina, NC · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 59 min
- Fines
- $76,047
-
★★★★★
- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 4 h 44 min
- Fines
- $0
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Highfield Nursing and Rehabilitation
Cary, NC · Avardis Health
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- —
- Fines
- $175,559