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Windsor Woods Rehab And Healthcare Center

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About Windsor Woods Rehab And Healthcare Center

General Information

Legal Business NameLegal Business Name Not Available
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMay 11, 1987 (30 years)
Capacity103
Residents95
Percent Occupied92%
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 Woods Rehab And Healthcare Center

Windsor Woods Rehab And Healthcare Center
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Florida 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 11, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
ESomePotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionEnsure that residents are fully informed and understand their health status, care and treatments.
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.
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 InspectionKeep all essential equipment working safely.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionAssure that each residentís assessment is updated at least once every 3 months.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.

April 16, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
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 InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionGive the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances.
DFewPotential for HarmHealth InspectionGive notice to the resident before a room or roommate change.

January 2, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide timely notification to the resident before transfer or discharge.

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 Woods Rehab And Healthcare 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 25min
2hr 35min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
35min
1hr 10min
ReportedExpected
RN
3hr 50min
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.8%
96.5%
96.5%
96.5%
93.1%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
98.6%
100.0%
98.6%
94.7%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
56.2%
76.0%
75.0%
72.4%
52.3%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of low risk long-stay residents who lose control of their bowels or bladder
50.7%
38.6%
47.1%
46.4%
27.4%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who received an antianxiety or hypnotic medication
35.7%
31.2%
29.1%
23.0%
17.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents whose ability to move independently worsened
16.4%
16.7%
18.3%
15.7%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who received an antipsychotic medication
14.9%
10.1%
13.4%
9.4%
13.5%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents whose need for help with daily activities has increased
0.0%
0.0%
1.4%
0.0%
5.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who self-report moderate to severe pain
8.0%
10.8%
11.0%
5.6%
7.2%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who lose too much weight
1.6%
6.1%
6.0%
9.0%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who have depressive symptoms
1.3%
0.0%
0.0%
0.0%
4.4%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents with a urinary tract infection
2.6%
2.7%
5.4%
4.1%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
1.4%
1.4%
1.4%
2.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents with a catheter inserted and left in their bladder
3.9%
1.4%
2.7%
2.7%
0.8%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

87.3%
92.0%
91.3%
92.9%
88.0%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.0%
80.6%
80.6%
80.6%
85.1%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
83.9%
76.3%
76.4%
69.5%
64.7%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who made improvements in function
10.8%
11.1%
4.4%
9.7%
12.8%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who self-report moderate to severe pain
4.3%
3.9%
2.9%
5.9%
2.3%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
1.3%
2.8%
1.4%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016FL
Percentage of short-stay residents with pressure ulcers that are new or worsened