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D
Poor

WINDSOR HOUSE

4411 MCALLISTER DRIVE · HUNTSVILLE, AL 35805

2568378585 · For profit - Corporation

117 beds101.3 residents98 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
C
Below Standard
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

WINDSOR HOUSE receives an overall staffing grade of D (Poor). With 2.7169 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4486 HPRD, below the recommended 0.75. It is 1.18 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.8% compared to weekdays. The facility has low agency staff usage (0.37% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.7169 HPRD — needs 0.76 more hours per resident per day.
⚠️RN staffing (0.4486 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.37%) — mostly permanent, familiar staff
Total Nurse HPRD
2.7169hrs/resident/day▼ 1.18
CMS benchmark: 3.48
RN HPRD
0.4486hrs/resident/day▼ 0.23
Recommended: 0.75
Weekend Drop-off
19.8%
2.8779 weekday → 2.3082 weekend
Agency Staff
0.37%
2.24% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4348hrs/resident/day
Direct care aides
LPN HPRD
0.5871hrs/resident/day
Licensed practical nurses
Consistency
0.4252std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Madison County Average-1.18 HPRD
3.90
02.72 HPRD
vs. Alabama State Average-1.20 HPRD
3.92
02.72 HPRD
vs. National Average-1.18 HPRD
3.90
02.72 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
WINDSOR HOUSE ★
HUNTSVILLE · This facility
—
D
2.71690.4486★☆☆☆☆
BROOKSHIRE HEALTHCARE CENTER
HUNTSVILLE
0.1 mi
A
4.27820.7831★★★☆☆
DIVERSICARE OF BIG SPRINGS
HUNTSVILLE
2.5 mi
D
2.94740.5757★★★★☆
ROCKET CITY REHABILITATION AND HEALTHCARE CENTER
HUNTSVILLE
3.6 mi
A
4.17551.258★☆☆☆☆
REGENCY HEALTH CARE AND REHABILITATION CENTER
HUNTSVILLE
3.6 mi
C
4.30340.4696★☆☆☆☆
HUNTSVILLE HEALTH & REHABILITATION, LLC
HUNTSVILLE
3.9 mi
B
3.73920.7232★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
24
Total Deficiencies
$266,231
Fines Assessed
Sep 20, 2023Health
5 deficiencies cited· Includes actual harm
▼
Aug 24, 2023Health
4 deficiencies cited
▼
May 29, 2021Health
11 deficiencies cited· Includes actual harm
▼
Mar 7, 2019Health
1 deficiency cited
▼
Apr 5, 2018Health
3 deficiencies cited
▼

Penalty History

Aug 24, 2023Fine
$266,231
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.