Home › North Carolina › Harnett County › Windsor Point Continuing Care
Windsor Point Continuing Care
1221 Broad Street, Fuquay-Varina, NC 27526 · CMS Certification Number (CCN) 345500
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At a glance
- CMS overall rating
- ★★★★★ 5 of 5
- Health inspection citations
- 10 in the last 3 inspection cycles (0 immediate jeopardy, 0 actual harm, 0 from complaints)
- Fire safety citations
- 8
- Fines (last 3 years)
- 0 fines, total $0
- Payment denials
- 0
- Most recent standard inspection
- December 31, 2025
- Official record
- Medicare Care Compare page for this facility
Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
CMS star ratings
CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide
| Rating | This facility | North Carolina average | U.S. average |
|---|---|---|---|
| Overall | ★★★★★ 5 of 5 | 2.9 | 3 |
| Health inspections | ★★★★★ 5 of 5 | 2.9 | 2.8 |
| Staffing | ★★★★☆ 4 of 5 | 2.7 | 2.9 |
| Quality measures | ★★☆☆☆ 2 of 5 | 3.3 | 3.6 |
| Long-stay quality | ★★☆☆☆ 2 of 5 | Not published | Not published |
| Short-stay quality | Not published Not enough data available to calculate a star rating. | Not published | Not published |
Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Health inspections
| Inspection cycle | Standard survey date | Health citations | From standard survey | From complaints |
|---|---|---|---|---|
| Cycle 1 (most recent) | December 31, 2025 | 0 | 0 | 0 |
| Cycle 2 | November 27, 2024 | 5 | 5 | 0 |
CMS weighted health inspection score: 4 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations
10 health citations across 2 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.
November 27, 2024: 5 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0728 | 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. Nursing and Physician Services Deficiencies | Standard | Deficient, Provider has date of correction Corrected 12/25/2024 |
| D | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies | Standard | Deficient, Provider has date of correction Corrected 12/25/2024 |
| D | 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 | Standard | Deficient, Provider has date of correction Corrected 12/25/2024 |
| B | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies | Standard | Deficient, Provider has plan of correction Corrected 12/25/2024 |
| D | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies | Standard | Deficient, Provider has date of correction Corrected 12/22/2024 |
October 26, 2023: 5 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| F | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies | Standard | Deficient, Provider has date of correction Corrected 11/23/2023 |
| F | F-0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies | Standard | Deficient, Provider has date of correction Corrected 11/23/2023 |
| F | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies | Standard | Deficient, Provider has date of correction Corrected 11/23/2023 |
| D | 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 | Standard | Deficient, Provider has date of correction Corrected 11/23/2023 |
| C | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies | Standard | Deficient, Provider has plan of correction Corrected 11/23/2023 |
Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Fire safety inspections
8 fire safety citations across 3 inspection dates
| Date | Severity | Tag | What was cited | Status |
|---|---|---|---|---|
| 11/27/2024 | D | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies | Deficient, Provider has date of correction Corrected 03/10/2025 |
| 10/26/2023 | F | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies | Deficient, Provider has date of correction Corrected 01/30/2024 |
| 10/26/2023 | F | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies | Deficient, Provider has date of correction Corrected 01/30/2024 |
| 10/26/2023 | F | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies | Deficient, Provider has date of correction Corrected 01/30/2024 |
| 10/26/2023 | F | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 01/30/2024 |
| 10/26/2023 | F | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 01/30/2024 |
| 07/15/2022 | D | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies | Deficient, Provider has date of correction Corrected 08/18/2022 |
| 07/15/2022 | D | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies | Deficient, Provider has date of correction Corrected 08/18/2022 |
Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.
Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Penalties
No fines or payment denials published for this facility in the CMS Penalties file (last 3 years).
Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Staffing
| Measure | This facility | North Carolina average | U.S. average |
|---|---|---|---|
| Total nurse staff hours per resident per day | 4.43 | 3.85 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.02 | 0.62 | 0.69 |
| LPN/LVN hours per resident per day | 1.11 | Not published | Not published |
| Nurse aide hours per resident per day | 2.31 | Not published | Not published |
| Total nurse staff hours per resident per day, weekends | 3.97 | Not published | Not published |
| RN hours per resident per day, weekends | 0.8 | Not published | Not published |
| Total nursing staff turnover (%) | 63.8 | 49 | 45.8 |
| Registered nurse turnover (%) | 57.1 | Not published | Not published |
| Administrators who have left | 1 | Not published | Not published |
Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.
Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Facility details
- Legal business name
- Windsor Point INC.
- Ownership type
- For profit - Corporation
- Chain
- Not published
- Ownership changed in last 12 months
- No
- Certified beds
- 45
- Average residents per day
- 25
- Participates in
- Medicare
- Located inside a hospital
- No
- Continuing care retirement community
- Yes
- Resident and family council
- Resident
- First approved for Medicare/Medicaid
- March 17, 2000
- County/parish
- Harnett
Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Owners and managers reported to CMS
65 ownership and management records
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| EVANS, TONI | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 6% | undefined undefined, NaN |
| MILLER, WILLIAM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 6% | undefined undefined, NaN |
| SHERRILL, DEBBIE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 6% | undefined undefined, NaN |
| EVANS, RILEY | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| EVANS, ROBERT | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| JONHSON, FLORENCE | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MILLER, ROSEMARY | DIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| STAN JOHNSON AND ASSOCIATE LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| EVANS, RILEY | 5% OR GREATER MORTGAGE INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| EVANS, ROBERT | 5% OR GREATER MORTGAGE INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| EVANS, TONI | 5% OR GREATER MORTGAGE INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| JONHSON, FLORENCE | 5% OR GREATER MORTGAGE INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MILLER, ROSEMARY | 5% OR GREATER MORTGAGE INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MILLER, WILLIAM | 5% OR GREATER MORTGAGE INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| SHERRILL, DEBBIE | 5% OR GREATER MORTGAGE INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| STAN JOHNSON AND ASSOCIATE LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| EVANS, RILEY | 5% OR GREATER SECURITY INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| EVANS, ROBERT | 5% OR GREATER SECURITY INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| EVANS, TONI | 5% OR GREATER SECURITY INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| JONHSON, FLORENCE | 5% OR GREATER SECURITY INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MILLER, ROSEMARY | 5% OR GREATER SECURITY INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MILLER, WILLIAM | 5% OR GREATER SECURITY INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| SHERRILL, DEBBIE | 5% OR GREATER SECURITY INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| EVANS, RILEY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| JONES, SHARON | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | undefined undefined, NaN |
| EVANS, KISA | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| EVANS, ROBERT | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| JONHSON, FLORENCE | CORPORATE OFFICER | Individual | NOT APPLICABLE | undefined undefined, NaN |
| BUIE, KATHYRN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| DEVINE, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| EVANS, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| JONES, SHARON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| JONHSON, FLORENCE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| LANZETTA, SHARON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MAYS, ELIZABETH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| POPE, TAMMY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| SEAVERSON, LORI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MILLER, ZACHARY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MOORE, FALON | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| RODERICK, MAEGAN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| EVENTUS WHOLEHEALTH PLLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| GREENBRIER LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| LEGACY HEALTHCARE SERVICES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| NUTRITION PLUS OF GREENVILLE INC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| SETH A WARD CPA PLLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| SHERRILL INVESTMENT HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| STAN JOHNSON AND ASSOCIATE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| WINDSOR POINT PHARMACY, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| BHAGALIA-PATEL, PARUL | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| BUIE, KATHYRN | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| DEVINE, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| EVANS, ROBERT | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| EVANS, TONI | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| JOHNSON, ETHAN | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| JOHNSON, JOSH | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| JONES, SHARON | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| JONHSON, FLORENCE | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| LANZETTA, SHARON | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MCDOUGALD, ANNA | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MCDOUGALD, JR., ANDREW | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| PENDERGRASS, KELLY | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| PICKFORD, SARAH | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| POPE, TAMMY | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| ROBINSON, BETH | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| SEAVERSON, LORI | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Check it yourself
- Medicare Care Compare: Windsor Point Continuing Care. Full inspection reports, quality measures and staffing.
- DHSR Complaint Intake Unit: File a Complaint. The state agency also takes nursing home complaints.
- Ask the facility to show you its most recent inspection report and plan of correction.
Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.