Home / North Carolina / Fuquay-Varina
Windsor Point Continuing Care
1221 Broad Street, Fuquay-Varina, NC 27526 · Harnett County · (919) 552-4580
45 certified beds, about 25 residents a day · For profit - Corporation · Medicare since 2000
CMS high performing icon Part of a continuing care retirement community Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345500 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 31, 2025, inspectors cited 0 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 10 health citations since October 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.43 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 1.02 of those hours.
63.8% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
510/23
511/24
012/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
0E
3F
Potential for minimal harm
0A
1B
1C
December 31, 2025Standard inspection · 0 citations
November 27, 2024Standard inspection · 5 citations
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observations, record review, and interviews with staff and resident representative, the facility failed to provide personal privacy when a resident's door to the room was left open during incontinent care allowing the resident to be visible from the hallway for 1 of 2 residents (Resident #16) reviewed for privacy. A reasonable person has an expectation of privacy during care and would have experienced feelings such as embarrassment.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wrote2. Resident #14 was admitted to the facility on [DATE] with diagnoses including dementia. Physician orders dated 9/3/2024 included Quetiapine Fumarate (an antipsychotic medication) half of a 25 milligram tablet twice a day for dementia with agitation. The quarterly Minimal Data Set (MDS) assessment dated [DATE] indicated Resident #14 was severely cognitively impaired and was receiving antipsychotics on a routine basis. Resident #14's care plan last reviewed 9/25/2024 did not include a focus for the use of antipsychotic medications. A review of Resident #14's Medication Administration Record from 9/3/2024 to 11/26/2024 recorded Resident #14 received Quetiapine Fumarate half of a 25 milligram tablet twice a day. [...]
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews with staff, and record review, the facility failed to ensure an oxygen filter was clean of dust and debris for 1 of 2 residents (Resident #5) reviewed for oxygen use.
- D 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.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure 2 of 5 staff reviewed who were assigned nurse aide tasks met the minimum qualifications for working as a nurse aide when Staff #1 and Staff #2 were performing nurse aide tasks without having completed a training and competency evaluation program, or a competency evaluation program approved by the State and were not in a state approved training and competency evaluation program.
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) in the areas of Gradual Dose Reduction (Residents #16 and #13) and Restraints (Resident #8) for 3 of 12 residents reviewed.
October 26, 2023Standard inspection · 5 citations
- F Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on a review of the facility arbitration agreement and staff interview, the facility failed to allow residents/resident representatives the right to choose whether or not to enter into a binding arbitration agreement when they required a binding arbitration agreement to be signed as a condition of admission to the facility and as a requirement to continue to receive care. This agreement was provided in the admission packet and was required to be signed during the admission process and it remained in effect throughout a residents stay at any level of care within the continuing care community. This affected all facility residents.
- F Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Inspectors wroteBased on record review of the facility arbitration agreement and staff interviews, the facility failed to provide an arbitration agreement that provided for 1) a selection of a neutral arbitrator agreed upon by both parties and 2) the selection of a venue that was convenient to both parties. This agreement was provided in the admission packet and was required to be signed during the admission process and it remained in effect throughout a residents stay at any level of care within the continuing care community. This affected all facility residents.
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on record review and staff interviews the facility failed to electronically submit complete and accurate Registered Nurses hours based on payroll data to the Centers for Medicare and Medicaid (CMS) for the third quarter of 2023.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record reviews and staff interviews the facility failed to follow a resident's care plan for transfers for 1 out of 22 residents reviewed (Resident #19).
- C Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review, staff and family interviews the facility failed to provide a written summary of the baseline care plan to the resident or family in 2 out of 2 residents (Resident # 21 and Resident #7).
Fire safety inspections
8 fire safety citations on file: 1 on November 27, 2024, 5 on October 26, 2023, 2 on July 15, 2022.
Every fire safety citation8 citations
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have power receptacles that are properly grounded.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.43 | 3.85 | 3.86 |
| Registered nurses | 1.02 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.97 | 3.42 | 3.42 |
| Nurse aides | 2.31 | ||
| Licensed practical nurses | 1.11 | ||
| Nursing staff turnover (share who left in a year) | 63.8% | 49.0% | 45.8% |
| Registered nurse turnover | 57.1% | 45.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.85 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.62 on weekdays and 3.97 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.76 in April to June 2025 to 4.43 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.43 | 1.02 | 4.62 | 3.97 | 0.0% | 0 of 90 | 25 |
| Oct to Dec 2025 | 4.09 | 0.94 | 4.32 | 3.50 | 0.0% | 0 of 92 | 26 |
| Jul to Sep 2025 | 4.58 | 0.94 | 4.79 | 4.04 | 0.0% | 0 of 92 | 24 |
| Apr to Jun 2025 | 4.76 | 1.13 | 5.00 | 4.15 | 0.0% | 0 of 91 | 23 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 21.3 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.6 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.8 | 1.4 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.9 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.2 | 14.0 | 15.4 |
Owners and operators
Legal business name: WINDSOR POINT INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Evans, Toni | 5% or greater direct ownership interest | Individual | 6% | 07/07/1995 |
| Miller, William | 5% or greater direct ownership interest | Individual | 6% | 07/07/1995 |
| Sherrill, Debbie | 5% or greater direct ownership interest | Individual | 6% | 07/07/1995 |
| Evans, Riley | Direct ownership interest | Individual | 07/07/1995 | |
| Evans, Robert | Direct ownership interest | Individual | 07/07/1995 | |
| Jonhson, Florence | Direct ownership interest | Individual | 07/07/1995 | |
| Miller, Rosemary | Direct ownership interest | Individual | 07/07/1995 | |
| Stan Johnson and Associate LLC | 5% or greater mortgage interest | Organization | 07/07/1995 | |
| Evans, Riley | 5% or greater mortgage interest | Individual | 07/07/1995 | |
| Evans, Robert | 5% or greater mortgage interest | Individual | 07/07/1995 | |
| Evans, Toni | 5% or greater mortgage interest | Individual | 07/07/1995 | |
| Jonhson, Florence | 5% or greater mortgage interest | Individual | 07/07/1995 | |
| Miller, Rosemary | 5% or greater mortgage interest | Individual | 07/07/1995 | |
| Miller, William | 5% or greater mortgage interest | Individual | 07/07/1995 | |
| Sherrill, Debbie | 5% or greater mortgage interest | Individual | 07/07/1995 | |
| Stan Johnson and Associate LLC | 5% or greater security interest | Organization | 07/07/1995 | |
| Evans, Riley | 5% or greater security interest | Individual | 07/07/1995 | |
| Evans, Robert | 5% or greater security interest | Individual | 07/07/1995 | |
| Evans, Toni | 5% or greater security interest | Individual | 07/07/1995 | |
| Jonhson, Florence | 5% or greater security interest | Individual | 07/07/1995 | |
| Miller, Rosemary | 5% or greater security interest | Individual | 07/07/1995 | |
| Miller, William | 5% or greater security interest | Individual | 07/07/1995 | |
| Sherrill, Debbie | 5% or greater security interest | Individual | 07/07/1995 | |
| Evans, Riley | Corporate director | Individual | 07/07/1995 | |
| Jones, Sharon | Corporate director | Individual | 05/01/2008 | |
| Evans, Kisa | Corporate officer | Individual | 01/01/2020 | |
| Evans, Robert | Corporate officer | Individual | 07/07/1995 | |
| Jonhson, Florence | Corporate officer | Individual | 07/07/1995 | |
| Buie, Kathyrn | Operational/managerial control | Individual | 06/06/2025 | |
| Devine, Michael | Operational/managerial control | Individual | 05/10/2021 | |
| Evans, Robert | Operational/managerial control | Individual | 07/07/1995 | |
| Jones, Sharon | Operational/managerial control | Individual | 06/01/2024 | |
| Jonhson, Florence | Operational/managerial control | Individual | 07/07/1995 | |
| Lanzetta, Sharon | Operational/managerial control | Individual | 07/16/2025 | |
| Mays, Elizabeth | Operational/managerial control | Individual | 05/10/2021 | |
| Pope, Tammy | Operational/managerial control | Individual | 12/31/2002 | |
| Seaverson, Lori | Operational/managerial control | Individual | 03/14/2025 | |
| Miller, Zachary | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 01/12/2026 | |
| Moore, Falon | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 01/12/2026 | |
| Roderick, Maegan | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 01/12/2026 | |
| Eventus Wholehealth PLLC | Adp of the SNF | Organization | 03/28/1998 | |
| Greenbrier LLC | Adp of the SNF | Organization | 12/22/2012 | |
| Legacy Healthcare Services Inc | Adp of the SNF | Organization | 07/01/2011 | |
| Nutrition Plus of Greenville Inc | Adp of the SNF | Organization | 02/01/2006 | |
| Seth a Ward Cpa PLLC | Adp of the SNF | Organization | 01/01/2010 | |
| Sherrill Investment Holdings LLC | Adp of the SNF | Organization | 12/22/2012 | |
| Stan Johnson and Associate LLC | Adp of the SNF | Organization | 07/07/1995 | |
| Windsor Point Pharmacy, Inc. | Adp of the SNF | Organization | 03/28/1998 | |
| Bhagalia-Patel, Parul | Adp of the SNF | Individual | 01/01/2022 | |
| Buie, Kathyrn | Adp of the SNF | Individual | 06/06/2025 | |
| Devine, Michael | Adp of the SNF | Individual | 05/10/2021 | |
| Evans, Robert | Adp of the SNF | Individual | 07/07/1995 | |
| Evans, Toni | Adp of the SNF | Individual | 07/07/1995 | |
| Johnson, Ethan | Adp of the SNF | Individual | 12/22/2012 | |
| Johnson, Josh | Adp of the SNF | Individual | 12/22/2012 | |
| Jones, Sharon | Adp of the SNF | Individual | 06/01/2024 | |
| Jonhson, Florence | Adp of the SNF | Individual | 07/07/1995 | |
| Lanzetta, Sharon | Adp of the SNF | Individual | 07/16/2025 | |
| McDougald, Anna | Adp of the SNF | Individual | 12/22/2012 | |
| McDougald, Jr., Andrew | Adp of the SNF | Individual | 12/22/2012 | |
| Pendergrass, Kelly | Adp of the SNF | Individual | 10/01/2010 | |
| Pickford, Sarah | Adp of the SNF | Individual | 02/01/2006 | |
| Pope, Tammy | Adp of the SNF | Individual | 12/31/2002 | |
| Robinson, Beth | Adp of the SNF | Individual | 05/06/2017 | |
| Seaverson, Lori | Adp of the SNF | Individual | 03/14/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on November 27, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 3 problems in this area, most recently on October 26, 2023: "Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on November 27, 2024: "Keep residents' personal and medical records private and confidential."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on November 27, 2024: "Provide safe and appropriate respiratory care for a resident when needed."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Fuquay-Varina Health and Rehabilitation Center Fuquay Varina, 1.5 mi · 1 of 5 stars · 50 citations
- Unc Rex Rehab & Nursing Care Center of Apex Apex, 8.5 mi · 5 of 5 stars · 5 citations
- Highfield Nursing and Rehabilitation Cary, 10.1 mi · 1 of 5 stars · 20 citations
- Glenaire Cary, 12.1 mi · 5 of 5 stars · 4 citations
- Bellarose Nursing and Rehab Garner, 12.2 mi · 5 of 5 stars · 2 citations
- The Laurels of Forest Glenn Garner, 12.4 mi · 2 of 5 stars · 12 citations
- Pruitthealth-Raleigh Raleigh, 12.5 mi · 3 of 5 stars · 30 citations
- Lillington Health and Rehabilitation Center Lillington, 13.4 mi · 1 of 5 stars · 35 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Windsor Point Continuing Care's Medicare star rating?
- CMS rates Windsor Point Continuing Care 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Windsor Point Continuing Care get at its last inspection?
- 0 health deficiencies at the standard inspection on December 31, 2025. The North Carolina average is 4.7.
- Has Windsor Point Continuing Care been fined?
- CMS lists no fines in the last three years.
- Does Windsor Point Continuing Care accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Windsor Point Continuing Care?
- CMS lists 65 owners and managers. Legal business name: WINDSOR POINT INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.