Windsor Point Continuing Care
1221 Broad Street, Fuquay Varina, NC 27526
Windsor Point Continuing Care is a nursing home in Fuquay Varina, North Carolina. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (919) 552-4580
- Last standard health inspection
- December 31, 2025 (10 months ago)
- Certified beds
- 45
- Residents per day, on average
- 26.2
- Ownership type
- For profit - Corporation
- Legal business name
- Windsor Point INC.
- Chain
- Not listed by CMS
- Takes part in
- Medicare
Fewer health citations than the North Carolina average (10 vs 18).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Staffing
Total nurse staffing reported to CMS went from 4.6 to 4.1 hours per resident per day.
CMS update of March 25, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 5 of 5.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
5 citations
Health inspection on November 27, 2024
CMS lists this as a standard inspection.
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on December 22, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on December 25, 2024.
CMS has cited this home for F0656 2 times since 2023.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on December 25, 2024.
Citation F0728. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on December 25, 2024.
Citation F0641. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on December 25, 2024.
1 citation
Fire safety inspection on November 27, 2024
CMS lists this as a standard inspection.
Citation K0521. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on March 10, 2025.
CMS has cited this home for K0521 3 times since 2022.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 3 of 5.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Staffing
Total nurse staffing reported to CMS went from 5.3 to 4.2 hours per resident per day.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 5 of 5.
5 citations
Health inspection on October 26, 2023
CMS lists this as a standard inspection.
Citation F0847. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
CMS lists it as corrected on November 23, 2023.
Citation F0848. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
CMS lists it as corrected on November 23, 2023.
Citation F0851. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS lists it as corrected on November 23, 2023.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on November 23, 2023.
Citation F0655. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on November 23, 2023.
5 citations
Fire safety inspection on October 26, 2023
CMS lists this as a standard inspection.
Citation K0355. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on January 30, 2024.
Citation K0374. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on January 30, 2024.
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on January 30, 2024.
Citation K0912. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have power receptacles that are properly grounded.
CMS lists it as corrected on January 30, 2024.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on January 30, 2024.
2 citations
Fire safety inspection on July 15, 2022
CMS lists this as a standard inspection.
Citation K0521. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on August 18, 2022.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on August 18, 2022.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- EVANS, TONI5% or greater direct ownership interest · 6% · since 07/07/1995
- MILLER, WILLIAM5% or greater direct ownership interest · 6% · since 07/07/1995
- SHERRILL, DEBBIE5% or greater direct ownership interest · 6% · since 07/07/1995
- EVANS, RILEYDirect ownership interest · not applicable · since 07/07/1995
- EVANS, ROBERTDirect ownership interest · not applicable · since 07/07/1995
- JONHSON, FLORENCEDirect ownership interest · not applicable · since 07/07/1995
- MILLER, ROSEMARYDirect ownership interest · not applicable · since 07/07/1995
- BUIE, KATHYRNOperational/managerial control · not applicable · since 06/06/2025
- DEVINE, MICHAELOperational/managerial control · not applicable · since 05/10/2021
- EVANS, ROBERTOperational/managerial control · not applicable · since 07/07/1995
- JONES, SHARONOperational/managerial control · not applicable · since 06/01/2024
- JONHSON, FLORENCEOperational/managerial control · not applicable · since 07/07/1995
- LANZETTA, SHARONOperational/managerial control · not applicable · since 07/16/2025
- MAYS, ELIZABETHOperational/managerial control · not applicable · since 05/10/2021
- POPE, TAMMYOperational/managerial control · not applicable · since 12/31/2002
- SEAVERSON, LORIOperational/managerial control · not applicable · since 03/14/2025
Questions
When was Windsor Point Continuing Care last inspected?
CMS lists December 31, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Windsor Point Continuing Care have?
CMS lists 10 health citations since October 26, 2023. CMS also calls these deficiencies.
Has Windsor Point Continuing Care been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Windsor Point Continuing Care?
Its CMS overall star rating is 5 of 5.
Is Windsor Point Continuing Care a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.