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Windsor Nursing & Retirement Home

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Reviews
Overall Rating 4.5 / 5.0 ★★★★★

  • ★★★★★ 6 years ago

    Great place for rehab.

  • ★★★★★ 2 months ago

About Windsor Nursing & Retirement Home

General Information

Legal Business NameSouth Yarmouth Management Systems Inc
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 1, 1989 (28 years)
Capacity120
Residents105
Percent Occupied88%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Windsor Nursing & Retirement Home

Windsor Nursing & Retirement Home
was reviewed by 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 Massachusetts 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

June 9, 2016 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmComplaintDevelop 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.
DFewPotential for HarmComplaintEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

October 20, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionGive or get x-rays and other tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

April 28, 2014 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$1,365 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 Windsor Nursing & Retirement Home 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 5min
2hr 30min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
45min
1hr 5min
ReportedExpected
RN
3hr 40min
4hr 15min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

97.1%
98.9%
98.9%
98.9%
95.7%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
100.0%
100.0%
93.2%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
56.2%
53.1%
49.2%
50.0%
53.6%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
38.5%
36.1%
32.9%
32.5%
21.2%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
29.7%
21.3%
7.5%
3.4%
17.7%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents whose ability to move independently worsened
20.5%
21.7%
21.6%
25.0%
18.4%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who received an antipsychotic medication
6.1%
4.5%
14.5%
5.4%
14.8%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents whose need for help with daily activities has increased
4.8%
12.2%
18.6%
12.7%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who self-report moderate to severe pain
3.4%
2.4%
3.3%
5.7%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who lose too much weight
6.8%
10.3%
8.2%
7.0%
4.7%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of high risk long-stay residents with pressure ulcers
11.2%
7.1%
2.3%
4.9%
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who have depressive symptoms
4.6%
3.5%
2.2%
2.3%
4.2%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents with a urinary tract infection
1.1%
0.0%
2.2%
3.4%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
0.0%
0.0%
0.0%
2.1%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

100.0%
94.9%
91.2%
94.1%
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.7%
83.1%
83.1%
83.1%
83.4%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
41.1%
78.6%
81.7%
81.1%
55.3%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of short-stay residents who made improvements in function
14.7%
25.0%
26.8%
32.7%
16.5%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of short-stay residents who self-report moderate to severe pain
2.6%
0.0%
0.0%
0.0%
1.6%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
0.0%
0.0%
0.0%
0.9%
Q4 2015Q1 2016Q2 2016Q3 2016MA
Percentage of short-stay residents with pressure ulcers that are new or worsened



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