Windsor Nursing & Retirement Home — nursing home in South Yarmouth, MA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 86.0 CMS, MDS-derived
CMS Certification Number: 225349
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 1, 1989
Ownership type: Non profit - Corporation
Operator (legal business name): South Yarmouth Management Systems Inc
CMS chain: Integritus Healthcare 14 facilities
Phone: (508) 394-3514
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Mar 19, 2026

Citations

31

24 health · 7 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D12	E10	F2
Minimal	A·	B3	C3

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 225349
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Jul 1, 1989
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Massachusetts.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Mar 19, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Mar 19, 2026	Health	Health Standard	6	Potential harm	—	Open →
Jan 9, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jan 9, 2025	Health	Health Standard	8	Potential harm	—	Open →
Oct 12, 2023	Fire safety	Fire Safety Standard	3	Minimal	3	Open →
Oct 12, 2023	Health	Health Standard	10	Actual harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D12	E10	F2
Minimal	A·	B3	C3

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Mar 19, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 28, 2026
Mar 19, 2026	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 28, 2026
Mar 19, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Apr 28, 2026
Mar 19, 2026	F-0839	Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Apr 28, 2026
Mar 19, 2026	F-0887	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 28, 2026
Mar 19, 2026	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	No revisit needed Apr 28, 2026
Jan 9, 2025	E-0025	Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Feb 19, 2025
Jan 9, 2025	E-0031	Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Feb 3, 2025
Jan 9, 2025	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 24, 2025
Jan 9, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 19, 2025
Jan 9, 2025	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Feb 19, 2025
Jan 9, 2025	F-0585	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 19, 2025
Jan 9, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 19, 2025
Jan 9, 2025	F-0685	Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 19, 2025
Jan 9, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 19, 2025
Jan 9, 2025	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Feb 19, 2025
Jan 9, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Feb 19, 2025
Jan 9, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 19, 2025
Oct 12, 2023	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Nov 22, 2023
Oct 12, 2023	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Nov 22, 2023
Oct 12, 2023	F-0585	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Nov 22, 2023
Oct 12, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 22, 2023
Oct 12, 2023	F-0685	Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Nov 22, 2023
Oct 12, 2023	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 22, 2023
Oct 12, 2023	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 22, 2023
Oct 12, 2023	F-0849	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Nov 22, 2023
Oct 12, 2023	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Plan of correction, not yet verified Nov 13, 2023
Oct 12, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	Plan of correction, not yet verified Nov 13, 2023
Oct 12, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	C · Minimal Widespread	Plan of correction, not yet verified Nov 13, 2023
Oct 12, 2023	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	Corrected Nov 22, 2023
Oct 12, 2023	F-0625	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	Corrected Nov 22, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 3

Staffingstate 3.1

Quality measuresstate 3.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.82

State avg 3.94US avg 3.90

Registered nurse (RN)0.59

State avg 0.66US avg 0.69

Licensed practical nurse0.88

State avg 0.97US avg 0.86

Nurse aide2.35

State avg 2.31US avg 2.35

Weekend total nurse3.22

State avg 3.52US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.78 (case-mix index 1.41).

Staff turnover

Total nursing staff turnover38.4%

State avg 37.6%US avg 45.3%

Registered nurse turnover37.5%

State avg 42.7%US avg 42.5%

Administrators who left1

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Mar 19, 2026
Cycle 1 health score: 28
Total weighted score: 34

Operating entity

South Yarmouth Management Systems Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Integritus Healthcare

14 facilities in 1 states. CMS chain ID 603.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.9

Ownership disclosures

Disclosures

7

Organizations

3

Individuals

3

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Fairview Extended Care Services Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 29, 1990
Integritus Healthcare Inc	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	Feb 1, 2022

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Fairview Extended Care Services Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 29, 1990
Integritus Healthcare Inc	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	Feb 1, 2022
Integritus Healthcare Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 26, 1990
Integritus Healthcare Management Services Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2022
Marcie Jo Gingras	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 13, 2021
William Jones	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 1, 1993
Scott Brewer	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Dec 22, 2021

Same chain in Massachusetts

All 13 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Pilgrim Rehabilitation & Skilled Nursing Center 96 Forest Street, Peabody, MA 01960 CCN 225048	152	Jan 29, 2026	22	—
Fairview Commons Nursing & Rehabilitation Center Christian Hill Road, Great Barrington, MA 01230 CCN 225250	146	Aug 4, 2026	482 harm	$74k
Day Brook Village Senior Living 298 Jarvis Avenue, Holyoke, MA 01040 CCN 225269	92	Nov 18, 2025	53	—
Charlene Manor Extended Care Facility 130 Colrain Road, Greenfield, MA 01301 CCN 225304	123	Feb 26, 2026	522 harm	$108k
Mt Greylock Extended Care Facility 1000 North Street, Pittsfield, MA 01201 CCN 225306	100	Jun 10, 2025	13	—
East Longmeadow Skilled Nursing Center 305 Maple Street, East Longmeadow, MA 01028 CCN 225331	131	Jul 22, 2025	35	—
Williamstown Commons Nursing & Rehab 25 Adams Road, Williamstown, MA 01267 CCN 225341	180	Mar 31, 2026	25	—
North Adams Commons Nursing & Rehabilitation Cente 175 Franklin Street, North Adams, MA 01247 CCN 225342	119	Dec 11, 2025	14	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 265 N Main St, South Yarmouth, MA 02664
ZIP: 02664
County: Barnstable County FIPS 25001
State: Massachusetts
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Mayflower Place Nursing & Rehabilitation Center 579 Buck Island Road, West Yarmouth, MA 02673 CCN 225374	6.6 km	72	Jul 21, 2026	63	—
Regalcare at Harwich 111 Headwaters Drive, Harwich, MA 02645 CCN 225525	8.4 km	135	Apr 7, 2026	25	—
Pavilion , the 876 Falmouth Road, Hyannis, MA 02601 CCN 225503	11.7 km	82	Jun 17, 2025	16	—
Cape Cod Post Acute Care 383 South Orleans Road, Brewster, MA 02631 CCN 225667	16.3 km	135	Jun 10, 2026	705 harm	$298k
Liberty Commons 390 Orleans Road, North Chatham, MA 02650 CCN 225330	18.1 km	132	Jan 9, 2026	16	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	225349	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	225349	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 225349

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction