THE WINDSOR PLACE
State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2024-10-09 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-10-09 — ACTUAL HARM (tag F0655, severity G)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
2021-10-28 — ACTUAL HARM (tag F0689, severity H)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2021-10-28 — ACTUAL HARM (tag F0657, severity H)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Staffing, from payroll records
Nursing hours / resident / day
3.39
state median 3.71
Weekend staffing gap
−14%
fewer nursing hours on weekends · state median −13%
RN hours / resident / day
0.37
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
1
with residents present
Nursing staff turnover
45%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $50,947 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-10-09 | Fine | $5,419 |
| 2024-10-09 | Fine | $5,420 |
| 2023-07-27 | Fine | $40,108 |
Ownership
Ownership type: For profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2024-10-09 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2024-10-09 | F0655 | Resident Assessment and Care Planning Deficiencies | G | not recorded |
| 2024-10-09 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-10-09 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-09 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-10-09 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-09 | F0700 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-09 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-10-09 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-10-09 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-10-09 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-05-16 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-27 | F0565 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-27 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-27 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-07-27 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-07-27 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-07-27 | F0725 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2023-07-27 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-07-27 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2021-10-28 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2021-10-28 | F0640 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-10-28 | F0657 | Resident Assessment and Care Planning Deficiencies | H | not recorded |
| 2021-10-28 | F0689 | Quality of Life and Care Deficiencies | H | not recorded |
| 2021-10-28 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2021-10-28 | F0868 | Administration Deficiencies | D | not recorded |