Compare with other Nursing Homes USA
Compare
Compare
WINDSOR GARDENS CARE CENTER | VS | All other Nursing Homes USA |
Staff Information | |||||
---|---|---|---|---|---|
Number of Residents |
198 (106.62 higher than average)
|
vs |
91.38
|
||
Number of RN Hours Per Resident Per Day |
0.71 (0.06 lower than average)
|
vs |
0.77
|
||
Number of LPN/LVN Hours Per Resident Per Day |
0.9 (0.06 higher than average)
|
vs |
0.84
|
||
Total Number of Licensed Staff Hours Per Resident Per Day |
1.61 (0.02 higher than average)
|
vs |
1.59
|
||
Number of CNA Hours Per Resident Per Day |
0.03 (5.46 lower than average)
|
vs |
5.49
|
||
Number Therapy Hours Per Resident Per Day |
0.03 (0.07 lower than average)
|
vs |
0.10
|
Quality Care Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care. survey Date: 12/22/2011 date Of Correction: 01/05/2012 |
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Deficiency #2 |
Scope: Some level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 05/31/2011 date Of Correction: 06/01/2011 |
Resident Assessment Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing. survey Date: 09/22/2011 date Of Correction: 10/24/2011 |
Administration Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator. survey Date: 09/10/2009 date Of Correction: 09/11/2009 |
Nutrition and Dietary Deficiencies | |||||
---|---|---|---|---|---|
Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature. survey Date: 05/17/2010 date Of Correction: 06/30/2010 |
Quality Measures Q1 | |||||
---|---|---|---|---|---|
Percent of long-stay residents who received an antipsychotic medication |
13.5 % (11.59 % lower than average)
|
vs |
25.09 %
|
||
Percent of long-stay residents whose need for help with daily activities has increased |
1 % (31.95 % lower than average)
|
vs |
32.95 %
|
||
Percent of long-stay residents who self-report moderate to severe pain |
0.6 % (16.06 % lower than average)
|
vs |
16.66 %
|
||
Percent of long-stay high-risk residents with pressure ulcers |
9.8 % (2.78 % lower than average)
|
vs |
12.58 %
|
||
Percent of long-stay residents who lose too much weight | 5.6:1 % | ||||
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
13 % (31.54 % lower than average)
|
vs |
44.54 %
|
||
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3 % (12.63 % lower than average)
|
vs |
15.63 %
|
||
Percent of long-stay residents with a urinary tract infection |
2.5 % (10.96 % lower than average)
|
vs |
13.46 %
|
||
Percent of long-stay residents who have depressive symptoms |
1.2 % (27.18 % lower than average)
|
vs |
28.38 %
|
||
Percent of long-stay residents who were physically restrained |
75.2 % (31.52 % higher than average)
|
vs |
43.68 %
|
||
Percent of short-stay residents who self-report moderate to severe pain |
17.6 % (7.42 % lower than average)
|
vs |
25.02 %
|
||
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
93 % (8.36 % higher than average)
|
vs |
84.64 %
|
||
Percent of short-stay residents with Pressure ulcers that are new or worsened |
94.8 % (10.86 % higher than average)
|
vs |
83.94 %
|
||
Percent of short-stay residents who newly received an antipsychotic medication |
75.2 % (29.3 % higher than average)
|
vs |
45.90 %
|
||
Percent of long-stay residents experiencing one or more falls with major injury |
1.2 % (14.32 % lower than average)
|
vs |
15.52 %
|
Quality Measures Q3 | |||||
---|---|---|---|---|---|
Percent of long-stay residents who received an antipsychotic medication |
11.7 % (13.69 % lower than average)
|
vs |
25.39 %
|
||
Percent of long-stay residents whose need for help with daily activities has increased |
1 % (22.7 % lower than average)
|
vs |
23.70 %
|
||
Percent of long-stay residents who self-report moderate to severe pain |
1.2 % (12.9 % lower than average)
|
vs |
14.10 %
|
||
Percent of long-stay high-risk residents with pressure ulcers | 11.8:1 % | ||||
Percent of long-stay residents who lose too much weight |
6 % (2.5 % lower than average)
|
vs |
8.50 %
|
||
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
13.3 % (30.08 % lower than average)
|
vs |
43.38 %
|
||
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
4.4 % (6.25 % lower than average)
|
vs |
10.65 %
|
||
Percent of long-stay residents with a urinary tract infection |
10.2 % (0.62 % higher than average)
|
vs |
9.58 %
|
||
Percent of long-stay residents who have depressive symptoms |
3 % (16.86 % lower than average)
|
vs |
19.86 %
|
||
Percent of long-stay residents who were physically restrained |
75.2 % (36.67 % higher than average)
|
vs |
38.53 %
|
||
Percent of long-stay residents experiencing one or more falls with major injury |
1.6 % (9.13 % lower than average)
|
vs |
10.73 %
|
||
Percent of short-stay residents who self-report moderate to severe pain |
14 % (10.76 % lower than average)
|
vs |
24.76 %
|
||
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
93.9 % (12.46 % higher than average)
|
vs |
81.44 %
|
||
Percent of short-stay residents with Pressure ulcers that are new or worsened |
93.6 % (18.85 % higher than average)
|
vs |
74.75 %
|
||
Percent of short-stay residents who newly received an antipsychotic medication | 10.7:1 % |