Federal inspection record · CMS data as of October 1, 2026
Windsor Rehabilitation & Health Care Center
809 West Benton, Windsor, MO · (660) 647-3102
- Certified beds
- 60
- Residents per day
- 31
- Ownership
- For-Profit
- Chain
- James & Judy Lincoln
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 4, 1997
1
How this home got 3 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 Missouri.
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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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Windsor Rehabilitation & Health Care Center carries 57 inspection points. That is fewer than 63% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: 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★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri 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
22 health citations on record since 2021. 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 Rights5E
- E
Honor the resident's right to manage his or her financial affairs.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- C
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care5E
- C
Ensure the activities program is directed by a qualified professional.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nursing and Physician Services3F
- D
Post nurse staffing information every day.
- E
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.
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Resident Assessment and Care Planning2E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
Nutrition and Dietary2F
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
Environmental1F
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Respond appropriately to all alleged violations.
Pharmacy Service1D
- D
Ensure that residents are free from significant medication errors.
Inspection history
2025-06-25
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2023-12-14
5 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2021-05-21
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 20 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 20 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 0% of registered nurses left in the past year.
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 vaccine16 pts better | 100.0% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts worse | 89.5% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts better | 1.6% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms55.2 pts worse | 75.2% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.2 pts better | 0.9% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication21.3 pts worse | 46.9% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.3 pts worse | 32.8% | 23.5% | 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 ability to walk independently worsened2.3 pts better | 13.5% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.3 pts better | 16.1% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.8% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.2 pts worse | 20.3% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.4 pts better | 0.0% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine31.4 pts better | 97.1% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.1 pts better | 8.3% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission13 pts worse | 38.7% | 25.7% | 23.4% |
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Who owns and runs it
7 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 |
|---|---|---|---|
| Lincoln, James | 5% Or Greater Direct Ownership Interest · Individual | 50% | 53 facilities |
| Lincoln, Judy | 5% Or Greater Direct Ownership Interest · Individual | 50% | 52 facilities |
| Bysor, Brandon | Corporate Director · Individual | 0% | 11 facilities |
| Drake, Timothy | Corporate Officer · Individual | 0% | 18 facilities |
| Merrill, Clara | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Stutts, Charlotte | Corporate Officer · Individual | 0% | 15 facilities |
| Truman Valley Health Care, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
·
Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install a fire alarm system that can be heard throughout the facility.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
Egress2F
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
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Lincoln Community Care Center
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★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 40 min
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- $0
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Adair Village
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 3 h 40 min
- Fines
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-
Clinton Healthcare And Rehabilitation Center
Clinton, MO · Circle B Enterprises · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 15 min
- Fines
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