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Windsor Manor Rehabilitation Center

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About Windsor Manor Rehabilitation Center

General Information

Legal Business NameWindsor Convalescent And Rehabilitation Center Of Concord LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 1, 1980 (36 years)
Capacity190
Residents152
Percent Occupied80%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Windsor Manor Rehabilitation Center

Windsor Manor Rehabilitation Center
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of California Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

November 17, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
DFewPotential for HarmFire Safety InspectionPortable fire extinguishers.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

October 30, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

February 25, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

December 11, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.

November 10, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.

October 22, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEstablish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

August 21, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionPortable fire extinguishers.
DFewPotential for HarmFire Safety InspectionProperly installed hallway dispensers for alcohol-based hand rub.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
DFewPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
DFewPotential for HarmFire Safety InspectionApproved construction type or materials.

August 15, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
DFewPotential for HarmHealth InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionHire a qualified full-time social worker in a facility with more than 120 beds.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

July 18, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

April 25, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

January 28, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

January 17, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that residents are safe from serious medication errors.

December 5, 2013 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Windsor Manor Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 20min
2hr 35min
ReportedExpected
CNA
55min
40min
ReportedExpected
LPN
45min
1hr 10min
ReportedExpected
RN
3hr 55min
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 45min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.5%
98.6%
98.6%
94.9%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
84.7%
79.2%
98.3%
94.6%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Pneumococcal Vaccine
47.3%
51.2%
56.8%
45.0%
Q1 2015Q2 2015Q3 2015CA
Low Risk Residents Who Lose Control of Their Bowel or Bladder
18.3%
15.8%
12.9%
13.5%
Q1 2015Q2 2015Q3 2015CA
Received an Antipsychotic Medication
13.3%
11.2%
16.8%
11.3%
Q1 2015Q2 2015Q3 2015CA
Need for Help with ADLs has Increased
3.4%
2.8%
4.4%
5.2%
Q1 2015Q2 2015Q3 2015CA
Self Report Moderate to Severe Pain
5.3%
7.3%
5.1%
6.2%
Q1 2015Q2 2015Q3 2015CA
Lose Too Much Weight
13.3%
17.5%
11.1%
6.1%
Q1 2015Q2 2015Q3 2015CA
High Risk Residents With Pressure Ulcers
0.9%
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015CA
Have Depressive Symptoms
3.8%
7.3%
2.5%
3.8%
Q1 2015Q2 2015Q3 2015CA
With a Urinary Tract Infection
0.0%
0.0%
0.0%
1.7%
Q1 2015Q2 2015Q3 2015CA
Experiencing One or More Falls with Major Injury
2.0%
1.2%
1.1%
3.2%
Q1 2015Q2 2015Q3 2015CA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015CA
Were Physically Restrained

Quality Measures for Short Stay Residents

97.4%
93.5%
94.2%
81.7%
Q1 2015Q2 2015Q3 2015CA
Assessed and Appropriately Given the Pneumococcal Vaccine
97.6%
94.7%
94.7%
81.8%
Q1 2015Q2 2015Q3 2015CA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
9.7%
6.1%
3.1%
12.7%
Q1 2015Q2 2015Q3 2015CA
Self Report Moderate to Severe Pain
2.9%
1.7%
1.3%
1.6%
Q1 2015Q2 2015Q3 2015CA
Newly Received an Antipsychotic Medication
0.3%
0.6%
0.8%
0.8%
Q1 2015Q2 2015Q3 2015CA
With Pressure Ulcers That Are New or Worsened