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WINDSOR GARDENS CARE CENTER

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WINDSOR GARDENS CARE CENTER VS
Nursing Homes USA
General
City EAST ORANGE   0% Nursing Homes USA have EAST ORANGE
State attribute explanation NJ   2.4% Nursing Homes USA have NJ
Street 140 PARK AVE  
Zip Code 7017  
Phone 9736771500  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
215 
108.94
Total Number of Residents
198 
91.25
Percent of Occupied Beds
92 %
83.65 %
Health Survey Date 5/10/2012  
Fire Survey Date 5/10/2012  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
198 
91.38
Number of RN Hours Per Resident Per Day
0.71 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.9 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.61 
1.59
Number of CNA Hours Per Resident Per Day
0.03 
5.49
Number Therapy Hours Per Resident Per Day
0.03 
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 
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 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
1 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
0.6 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
9.8 %
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 %
44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3 %
15.63 %
Percent of long-stay residents with a urinary tract infection
2.5 %
13.46 %
Percent of long-stay residents who have depressive symptoms
1.2 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
17.6 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
94.8 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
45.90 %
Percent of long-stay residents experiencing one or more falls with major injury
1.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
11.7 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
1 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
1.2 %
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 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
13.3 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.4 %
10.65 %
Percent of long-stay residents with a urinary tract infection
10.2 %
9.58 %
Percent of long-stay residents who have depressive symptoms
3 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
1.6 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain
14 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
93.9 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
93.6 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication 10.7:1 % 

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