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Windsor House
4411 MCALLISTER DRIVE
Huntsville, AL 35805
(256) 837-8585
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 117 |
| Number of Residents: | 100 |
| Percent of Occupied Beds: | 85% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Both |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20070901 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Pattern | Minimal harm or potential for actual harm | 20071005 |
| 20070901 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20071005 |
| 20091019 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Immediate jeopardy to resident health or safety | 20091024 |
| 20091019 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Immediate jeopardy to resident health or safety | 20091024 |
| 20091019 | Health | Administration Deficiencies | Be administered in a way that leads to the highest possible level of well being for each resident. | Widespread | Immediate jeopardy to resident health or safety | 20091024 |
| 20091019 | Health | Administration Deficiencies | 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. | Widespread | Immediate jeopardy to resident health or safety | 20091024 |
| 20091019 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20091106 |
| 20091019 | Health | Mistreatment Deficiencies | Protect each resident from all abuse, physical punishment, and being separated from others. | Isolated | Immediate jeopardy to resident health or safety | 20091024 |
| 20091019 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Minimal harm or potential for actual harm | 20091106 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 96 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 99 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 4 | |
| Percent of long-stay residents who have moderate to severe pain: | 4 | |
| Percent of high-risk long-stay residents who have pressure sores: | 3 | |
| Percent of low-risk long-stay residents who have pressure sores: | 1 | |
| Percent of long-stay residents who were physically restrained: | 2 | |
| Percent of long-stay residents who are more depressed or anxious: | 11 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 43 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 3 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 2 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 8 | |
| Percent of long-stay residents who had a urinary tract infection: | 1 | |
| Percent of long-stay residents who lose too much weight: | 2 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 89 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 98 | |
| Percent of short-stay residents who have delirium: | 3 | |
| Percent of short-stay residents who had moderate to severe pain: | 18 | |
| Percent of short-stay residents who have pressure sores: | 3 | |
| # of Residents: | 100 |
| # RN Hours per Resident: | 0.46 |
| # LPN Hours per Resident: | 0.9 |
| # CNA Hours per Resident: | 2.26 |
| Total Staff Hours per Resident: | 1.36 |
