Madison County, Alabama · Nursing home
Windsor House
1 of 5 overall from CMS
4411 McAllister Drive, Huntsville, AL 35805
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 2.84 hours Below the state average of 3.88
- Nursing staff who left in a year 56.8% Above the state average of 46.9%
- Health citations, last 3 inspection cycles 20 4 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 85.7% of 117 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Windsor House is a 117-bed nursing home in Huntsville, Alabama (Madison County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 2.84 nurse staffing hours per resident per day, below the Alabama average of 3.88. CMS lists no fines in the past three years.
- Certified beds
- 117
- Residents per day (average)
- 100.3
- Certified since
- 1987 (39 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Diversicare Healthcare (44 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Windsor House
Chosen from this home's public data.
- CMS counts 11 health deficiencies in the latest inspection cycle (the standard inspection on May 29, 2021 plus complaint and infection-control inspections); the Alabama average is 4.0. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 56.8%, above the Alabama average of 46.9%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 2.46 hours per resident on weekends against 2.84 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Alabama average 3.0
- Health inspections 1 of 5 Alabama average 2.8
- Staffing 2 of 5 Alabama average 3.6
- Quality measures 3 of 5 Alabama average 3.2
The vertical line marks the Alabama average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 2.84 h Alabama average 3.88
- Nurse aides 1.75 h Alabama average 2.44
- Licensed practical nurses 0.53 h Alabama average 0.79
- Registered nurses 0.57 h Alabama average 0.65
- All staff, weekends 2.46 h Alabama average 3.26
How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the Alabama average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover56.8%
- Alabama average46.9%
- Registered nurse turnover72.2%
- Alabama average39.5%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Alabama and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Alabama | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 1.1% | 12.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.5% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.0% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 4.3% | 2.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 1.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.6% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% | 3.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.9% | 92.2% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 1.5% | 12.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.1% | 24.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 94.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.2% | 5.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.3% | 12.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 20.6% | 21.2% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.00 | 1.96 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.77 | 1.70 | 1.78 |
Short-stay residents
| Measure | This home | Alabama | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 37.2% | 85.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 7.0% | 2.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 73.1% | 80.3% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 37.3% | 24.8% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 21.2% | 11.3% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 20 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level and 2 involved actual harm; the rest were graded as no actual harm. 5 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Sep 20, 2023: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 29, 2021 | 11 | 0 |
| Mar 7, 2019 | 1 | 1 |
| Apr 5, 2018 | 8 | 3 |
Alabama homes averaged 4.0 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (20)
-
JImmediate jeopardy, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 19, 2023)
-
JImmediate jeopardy, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 19, 2023)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 19, 2023)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 19, 2023)
-
DPotential for more than minimal harm, isolated
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 19, 2023)
Show 15 more
-
GActual harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Jul 2, 2021)
-
GActual harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 2, 2021)
-
FPotential for more than minimal harm, widespread
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 · Deficient, Provider has date of correction (Jul 2, 2021)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Jul 2, 2021)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jul 2, 2021)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 2, 2021)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 2, 2021)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 2, 2021)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Jul 2, 2021)
-
DPotential for more than minimal harm, isolated
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 2, 2021)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 2, 2021)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 11, 2019)
-
DPotential for more than minimal harm, isolated
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights · Deficient, Provider has date of correction (May 10, 2018)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 10, 2018)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 10, 2018)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Alabama homes averaged 0.3 fines and $12,315 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Alabama
- Size107 of 224 by certified beds
- Alabama average residents per day98.1
- ChainDiversicare Healthcare
- Chain average overall rating2.5 of 5
- Resident or family councilResident
- Homes in Huntsville9
- Homes in Madison County12
Common questions
What is the CMS star rating for Windsor House?
Windsor House has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 3.
How many beds does Windsor House have?
Windsor House has 117 certified beds. It averages 100.3 residents per day, about 85.7% of its certified beds.
How much nursing care do residents get at Windsor House?
The home reports 2.84 hours of nurse staffing per resident per day, including 0.57 hours from registered nurses. The Alabama average is 3.88 hours and 0.65 hours from registered nurses.
Has Windsor House been fined?
CMS lists no fines for this home in the past three years.
Does Windsor House accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 3 of 5 Brookshire Healthcare Center 129beds 91.2%in use 3.98nurse hours a day
- 4 of 5 Diversicare of Big Springs 145beds 85.5%in use 3.12nurse hours a day
- 1 of 5 The Health Center at Research Park 91beds 90.1%in use 3.46nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Madison County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 015397. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.