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The Windsor Place

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About The Windsor Place

General Information

Legal Business NameWindsor Place Nursing Center Inc
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareFebruary 18, 1999 (18 years)
Capacity140
Residents126
Percent Occupied90%
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 The Windsor Place

The Windsor Place
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Mississippi 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

July 23, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
JFewImmediate JeopardyComplaintEnsure that residents are safe from serious medication errors.
JFewImmediate JeopardyComplaintProvide care by qualified persons according to each resident's written plan of care.
JFewImmediate JeopardyComplaintEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmComplaintMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaintEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.

June 16, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$79,885 fine
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

February 5, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
DFewPotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

July 22, 2014 - 2 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 10, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

January 9, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionCorridors that are separated from use areas by walls constructed to limit the passage of smoke.

March 8, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$192,010 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of The Windsor Place 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 40min
2hr 35min
ReportedExpected
CNA
1hr 20min
40min
ReportedExpected
LPN
35min
60min
ReportedExpected
RN
4hr 35min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.3%
96.7%
96.7%
97.1%
Q1 2015Q2 2015Q3 2015MS
Assessed and Appropriately Given the Seasonal Influenza Vaccine
97.3%
96.5%
97.3%
97.1%
Q1 2015Q2 2015Q3 2015MS
Assessed and Appropriately Given the Pneumococcal Vaccine
84.2%
84.3%
76.7%
47.0%
Q1 2015Q2 2015Q3 2015MS
Low Risk Residents Who Lose Control of Their Bowel or Bladder
12.4%
15.6%
21.1%
22.2%
Q1 2015Q2 2015Q3 2015MS
Received an Antipsychotic Medication
27.7%
26.6%
22.8%
17.4%
Q1 2015Q2 2015Q3 2015MS
Need for Help with ADLs has Increased
8.9%
9.1%
6.0%
10.3%
Q1 2015Q2 2015Q3 2015MS
Self Report Moderate to Severe Pain
10.1%
10.4%
8.4%
8.1%
Q1 2015Q2 2015Q3 2015MS
Lose Too Much Weight
4.6%
10.1%
8.5%
7.7%
Q1 2015Q2 2015Q3 2015MS
High Risk Residents With Pressure Ulcers
16.4%
14.4%
9.3%
2.1%
Q1 2015Q2 2015Q3 2015MS
Have Depressive Symptoms
10.0%
12.0%
13.8%
6.0%
Q1 2015Q2 2015Q3 2015MS
With a Urinary Tract Infection
3.6%
2.6%
2.7%
3.0%
Q1 2015Q2 2015Q3 2015MS
Experiencing One or More Falls with Major Injury
4.8%
5.0%
4.0%
2.6%
Q1 2015Q2 2015Q3 2015MS
With a Catheter Inserted and Left in Their Bladder
2.7%
1.8%
2.7%
2.5%
Q1 2015Q2 2015Q3 2015MS
Were Physically Restrained

Quality Measures for Short Stay Residents

61.5%
46.7%
32.7%
88.6%
Q1 2015Q2 2015Q3 2015MS
Assessed and Appropriately Given the Pneumococcal Vaccine
57.9%
57.3%
57.3%
85.7%
Q1 2015Q2 2015Q3 2015MS
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
20.0%
18.9%
27.6%
18.8%
Q1 2015Q2 2015Q3 2015MS
Self Report Moderate to Severe Pain
2.8%
3.9%
2.4%
2.9%
Q1 2015Q2 2015Q3 2015MS
Newly Received an Antipsychotic Medication
0.0%
1.4%
0.6%
1.1%
Q1 2015Q2 2015Q3 2015MS
With Pressure Ulcers That Are New or Worsened