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Windsor Gardens Care Center

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About Windsor Gardens Care Center

General Information

Legal Business NameWindsor Gardens Care Center, Inc.
Ownership TypeFor Profit - Individual
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 1, 1981 (35 years)
Capacity215
Residents186
Percent Occupied87%
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 Gardens Care Center

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

Overall Ratings of New Jersey 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

August 31, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionMake sure the physician properly assigns tasks that can be delegated or satisfied by a physician assistant, nurse practitioner or clinical nurse specialist .
ESomePotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
BSomePotential for Minimal HarmFire Safety InspectionAt least two remote exits on each floor or fire section of the building.

July 30, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
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.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
DFewPotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.

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 Gardens Care 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.

1hr 45min
2hr 15min
ReportedExpected
CNA
1hr
40min
ReportedExpected
LPN
60min
1hr
ReportedExpected
RN
3hr 45min
3hr 55min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

99.4%
97.4%
97.4%
96.4%
Q1 2015Q2 2015Q3 2015NJ
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.3%
97.3%
97.7%
95.1%
Q1 2015Q2 2015Q3 2015NJ
Assessed and Appropriately Given the Pneumococcal Vaccine
13.6%
10.0%
15.5%
36.7%
Q1 2015Q2 2015Q3 2015NJ
Low Risk Residents Who Lose Control of Their Bowel or Bladder
5.3%
3.7%
4.6%
13.5%
Q1 2015Q2 2015Q3 2015NJ
Received an Antipsychotic Medication
7.9%
13.0%
11.8%
12.9%
Q1 2015Q2 2015Q3 2015NJ
Need for Help with ADLs has Increased
1.9%
2.3%
3.8%
3.7%
Q1 2015Q2 2015Q3 2015NJ
Self Report Moderate to Severe Pain
12.4%
9.7%
4.0%
7.3%
Q1 2015Q2 2015Q3 2015NJ
Lose Too Much Weight
15.6%
11.8%
15.7%
6.7%
Q1 2015Q2 2015Q3 2015NJ
High Risk Residents With Pressure Ulcers
7.9%
7.1%
7.5%
3.2%
Q1 2015Q2 2015Q3 2015NJ
Have Depressive Symptoms
1.7%
3.3%
2.9%
3.7%
Q1 2015Q2 2015Q3 2015NJ
With a Urinary Tract Infection
1.7%
2.7%
1.7%
2.5%
Q1 2015Q2 2015Q3 2015NJ
Experiencing One or More Falls with Major Injury
5.0%
4.9%
4.9%
2.7%
Q1 2015Q2 2015Q3 2015NJ
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.3%
Q1 2015Q2 2015Q3 2015NJ
Were Physically Restrained

Quality Measures for Short Stay Residents

80.9%
85.0%
89.4%
86.9%
Q1 2015Q2 2015Q3 2015NJ
Assessed and Appropriately Given the Pneumococcal Vaccine
90.8%
88.8%
88.9%
86.2%
Q1 2015Q2 2015Q3 2015NJ
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
13.6%
13.7%
10.9%
10.9%
Q1 2015Q2 2015Q3 2015NJ
Self Report Moderate to Severe Pain
0.0%
0.0%
0.0%
1.6%
Q1 2015Q2 2015Q3 2015NJ
Newly Received an Antipsychotic Medication
0.0%
1.2%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015NJ
With Pressure Ulcers That Are New or Worsened