Back

WINDSOR WOODS REHABILITATION AND HEALTHCARE CENTER

Details Rankings Comparisons Related
Compare with other Nursing Homes USA
 Compare
WINDSOR WOODS REHABILITATION AND HEALTHCARE CENTER VS
Nursing Homes USA
General
City HUDSON   0.1% Nursing Homes USA have HUDSON
State attribute explanation FL   4.4% Nursing Homes USA have FL
Street 13719 DALLAS DR  
Zip Code 34667  
Phone 7278626795  
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
103 
108.94
Total Number of Residents
95 
91.25
Percent of Occupied Beds
92 %
83.65 %
Health Survey Date 7/28/2011  
Fire Survey Date 8/2/2011  
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 Non Profit - Corporation  18.7% Nursing Homes USA have Non profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils Both  29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
58.16
Total Enforcement Actions Count
56.31
# of deficiencies 12  
Staff Information
Number of Residents
95 
91.38
Number of RN Hours Per Resident Per Day
0.5 - 2.0 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.69 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.19 
1.59
Number of CNA Hours Per Resident Per Day
0.06 
5.49
Number Therapy Hours Per Resident Per Day
0.06 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 10/20/2011
date Of Correction: 11/11/2011 
Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 09/13/2011
date Of Correction: 09/28/2011 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 09/09/2010
date Of Correction: 10/09/2010 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 01/28/2010
date Of Correction: 02/28/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Establish And Follow A Written Policy That Permits A Resident To Return To The Nursing Home After Hospitalization.
survey Date: 01/30/2012
date Of Correction: 02/04/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 01/30/2012
date Of Correction: 02/04/2012 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 04/02/2010
date Of Correction: 05/02/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 04/02/2010
date Of Correction: 05/02/2010 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 01/28/2010
date Of Correction: 02/28/2010 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.
survey Date: 01/30/2012
date Of Correction: 02/04/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.
survey Date: 04/02/2010
date Of Correction: 05/02/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.
survey Date: 01/28/2010
date Of Correction: 02/28/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
38.6 %
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 14.7:1 % 
Percent of long-stay high-risk residents with pressure ulcers
4.2 %
12.58 %
Percent of long-stay residents who lose too much weight
6 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.6 %
15.63 %
Percent of long-stay residents with a urinary tract infection
10.8 %
13.46 %
Percent of long-stay residents who have depressive symptoms
1.2 %
28.38 %
Percent of long-stay residents who were physically restrained 12.8:1 % 
Percent of short-stay residents who self-report moderate to severe pain
24.3 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
70.7 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
70.9 %
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
75.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
37.7 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
3.4 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
24.7 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
5 %
9.22 %
Percent of long-stay residents who lose too much weight
7.6 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
18.5 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.7 %
10.65 %
Percent of long-stay residents with a urinary tract infection
15.5 %
9.58 %
Percent of long-stay residents who have depressive symptoms
4.3 %
19.86 %
Percent of long-stay residents who were physically restrained
12.2 %
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
33.7 %
24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
58.3 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
48.4 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
3.2 %
17.34 %

saved