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Windsor Woods Rehabilitation And Healthcare Center
13719 DALLAS DR
Hudson, FL 34667
(727) 862-6795
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 103 |
| Number of Residents: | 96 |
| Percent of Occupied Beds: | 93% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | Non profit - Other |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | Yes |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080909 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20081016 |
| 20080909 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20081016 |
| 20080909 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20081016 |
| 20100128 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20100228 |
| 20100128 | Health | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Minimal harm or potential for actual harm | 20100228 |
| 20100128 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20100228 |
| 20100402 | Health | Administration Deficiencies | Quickly tell the resident's doctor the results of lab tests. | Isolated | Minimal harm or potential for actual harm | 20100502 |
| 20100402 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20100502 |
| 20100402 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20100502 |
| 20100909 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Pattern | Minimal harm or potential for actual harm | 20101009 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 90 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 96 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 10 | |
| Percent of long-stay residents who have moderate to severe pain: | 5 | |
| Percent of high-risk long-stay residents who have pressure sores: | 16 | |
| Percent of low-risk long-stay residents who have pressure sores: | 8 | |
| Percent of long-stay residents who were physically restrained: | 9 | |
| Percent of long-stay residents who are more depressed or anxious: | 15 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 46 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 7 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 4 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 9 | |
| Percent of long-stay residents who had a urinary tract infection: | 18 | |
| Percent of long-stay residents who lose too much weight: | 7 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 92 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 95 | |
| Percent of short-stay residents who have delirium: | 1 | |
| Percent of short-stay residents who had moderate to severe pain: | 31 | |
| Percent of short-stay residents who have pressure sores: | 20 | |
| # of Residents: | 96 |
| # RN Hours per Resident: | 0.72 |
| # LPN Hours per Resident: | 0.81 |
| # CNA Hours per Resident: | 2.92 |
| Total Staff Hours per Resident: | 1.53 |
