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Windermere Health And Rehabilitation Center

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About Windermere Health And Rehabilitation Center

General Information

Legal Business NameGgnsc Augusta Windermere LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareApril 15, 1982 (36 years)
Capacity120
Residents101
Percent Occupied84%
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 Windermere Health And Rehabilitation Center

Windermere Health And Rehabilitation Center
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 Georgia 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 5, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$418,893 fine
---Payment DenialPayment denial for 47 days
KSomeImmediate JeopardyComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
KSomeImmediate JeopardyComplaint+InspectionProvide care by qualified persons according to each resident's written plan of care.
KSomeImmediate JeopardyComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
KSomeImmediate JeopardyComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
KSomeImmediate JeopardyComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
KSomeImmediate JeopardyComplaint+InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
KSomeImmediate JeopardyComplaint+InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
KSomeImmediate JeopardyComplaint+InspectionProtect each resident from mistreatment, neglect and misappropriation of personal property.
JFewImmediate JeopardyComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
JFewImmediate JeopardyComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaint+InspectionSend unopened mail from residents and promptly deliver unopened mail to residents.
ESomePotential for HarmComplaint+InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
CManyPotential for Minimal HarmComplaint+InspectionHave an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
DFewPotential for HarmComplaint+InspectionProvide bedrooms that don't allow residents to see each other when privacy is needed.
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaint+InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmComplaint+InspectionUse a registered nurse at least 8 hours a day, 7 days a week.
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

November 19, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
ESomePotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

March 26, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$7,020 fine
ESomePotential for HarmHealth InspectionKeep all essential equipment working safely.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.

January 6, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$69,550 fine
KSomeImmediate JeopardyComplaintMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
KSomeImmediate JeopardyComplaintGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
KSomeImmediate JeopardyComplaintAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
KSomeImmediate JeopardyComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
KSomeImmediate JeopardyComplaintEnsure services provided by the nursing facility meet professional standards of quality.
KSomeImmediate JeopardyComplaintProvide care by qualified persons according to each resident's written plan of care.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Windermere Health And 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 10min
2hr 35min
ReportedExpected
CNA
1hr
40min
ReportedExpected
LPN
25min
1hr 5min
ReportedExpected
RN
3hr 35min
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

75.3%
85.3%
86.2%
86.2%
94.1%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
70.9%
55.3%
93.1%
96.3%
93.2%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
85.7%
90.9%
91.7%
92.9%
46.7%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
24.1%
23.5%
25.3%
24.7%
26.1%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
25.1%
37.4%
37.9%
23.5%
17.7%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents whose ability to move independently worsened
12.2%
11.1%
15.5%
11.4%
19.7%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents who received an antipsychotic medication
14.3%
17.1%
32.1%
21.3%
15.9%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents whose need for help with daily activities has increased
12.0%
13.4%
7.3%
9.3%
7.6%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents who self-report moderate to severe pain
3.7%
7.2%
7.1%
3.7%
7.3%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents who lose too much weight
7.4%
9.2%
15.1%
20.3%
6.7%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents who have depressive symptoms
7.2%
1.2%
0.0%
0.0%
4.7%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents with a urinary tract infection
3.5%
1.2%
1.1%
1.2%
3.4%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents experiencing one or more falls with major injury
4.5%
2.5%
2.6%
1.2%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents with a catheter inserted and left in their bladder
2.3%
1.2%
2.3%
2.4%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

35.5%
28.1%
45.7%
57.7%
80.3%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
67.4%
29.5%
29.3%
29.3%
78.4%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
63.6%
64.4%
54.9%
55.6%
61.1%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of short-stay residents who made improvements in function
34.1%
25.0%
22.7%
15.0%
15.6%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of short-stay residents who self-report moderate to severe pain
4.5%
3.0%
1.1%
2.7%
2.8%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.4%
0.0%
1.3%
1.2%
Q4 2015Q1 2016Q2 2016Q3 2016GA
Percentage of short-stay residents with pressure ulcers that are new or worsened