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WINDCREST NURSING AND REHABILITATION CENTER - FREDERICKSBURG, TX

 



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Address
210 WEST WINDCREST ST
FREDERICKSBURG, TX, 78624
Phone (make sure to verify first before calling): (830) 997-7422

Number of Certified Beds: 120
Total Number of Residents: 86
Percent of Occupied Beds: 72%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Partnership
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
Type: Skilled Nursing Facilities


Overall Star Rating: 1 Star
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 1 Star

Employment Full-Time Equivalent

Administrative Staff - Full Time: 7.33
Certified Nurse Aides - Full Time: 29.59
Dietitians - Under Contract: 0.26
Food Service Personnel - Full Time: 11.13
Licensed Practical/ Vocational Nurses - Full Time: 13.83
Medical Directors - Under Contract: 0.07
Nurses With Administrative Duties - Full Time: 5.73
Persons Not Included In Any Other Categories - Full Time: 14.99
Physical Therapists - Under Contract: 0.34
Registered Nurses - Full Time: 3.39
Rn Director Of Nursing - Full Time: 1.24
Social Workers - Full Time: 1.24
Activities Professionals - Full Time: 1.29
Occupational Therapists - Under Contract: 1.14
Pharmacists - Under Contract: 0.17
Speech Pathologists - Under Contract: 0.49
Nurse Aides In Training - Full Time: 17.89
Occupational Therapy Assistants - Under Contract: 3.14
Medication Aides/ Technicians - Full Time: 8.19

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Non Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Non Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Non Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

0.360
Texas:

0.469
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.840
State:

0.894
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

1.200
State:

1.350
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.070
State:

0.067
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.070
State:

0.074

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
This Nursing Home:

17.9%
Texas:

20.4%
Percent of long-stay residents who self-report moderate to severe pain
Here:

9.1%
Texas:

11.4%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

11.8%
Texas:

7.2%
Percent of long-stay residents who lose too much weight
This Nursing Home:

5.6%
Texas:

6.7%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

4.9%
State:

3.9%
Percent of long-stay residents with a urinary tract infection
Here:

7.0%
Texas:

8.3%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

5.5%
State:

3.5%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

100.0%
Texas:

91.6%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

100.0%
Texas:

91.1%
Percent of short-stay residents who self-report moderate to severe pain
Here:

16.8%
Texas:

20.2%
Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

1.0%
State:

1.4%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

96.5%
State:

76.2%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

97.4%
Texas:

74.3%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

25.7%
Texas:

28.5%

Complaint Deficiency

Corridor and hallway doors that block smoke: Many (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Many (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Some (Minimal harm or potential for actual harm)

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: Some (Potential for minimal harm)

Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Potential for minimal harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Many (Minimal harm or potential for actual harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Some (Potential for minimal harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Some (Minimal harm or potential for actual harm)

Approved construction type or materials: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Provide food in a way that meets a resident's needs: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Some (Minimal harm or potential for actual harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Many (Potential for minimal harm)

Weekly inspections and monthly testing of generators: Many (Potential for minimal harm)

Keep each resident's personal and medical records private and confidential: Many (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Some (Minimal harm or potential for actual harm)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Give or get specialized rehabilitative services per the patient's assessment or plan of care: Some (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

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