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WINDSOR NURSING AND RETIREMENT HOME - SOUTH YARMOUTH, MA

 



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Address
265 N MAIN ST
SOUTH YARMOUTH, MA, 02664
Phone (make sure to verify first before calling): (508) 394-3514

Number of Certified Beds: 120
Total Number of Residents: 103
Percent of Occupied Beds: 86%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 4 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 5 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 6.33
Administrative Staff - Part Time: 0.70
Certified Nurse Aides - Full Time: 33.97
Certified Nurse Aides - Part Time: 3.50
Dietitians - Under Contract: 0.11
Food Service Personnel - Full Time: 8.46
Food Service Personnel - Part Time: 2.29
Housekeeping Personnel - Full Time: 5.16
Licensed Practical/ Vocational Nurses - Full Time: 6.79
Licensed Practical/ Vocational Nurses - Part Time: 1.70
Medical Directors - Under Contract: 0.11
Mental Health Services Personnel - Under Contract: 0.06
Nurses With Administrative Duties - Full Time: 2.27
Persons Not Included In Any Other Categories - Full Time: 6.64
Physical Therapists - Under Contract: 0.54
Registered Nurses - Full Time: 11.16
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.60
Activities Professionals - Full Time: 1.37
Occupational Therapists - Under Contract: 0.99
Speech Pathologists - Under Contract: 1.10
Physician Extenders - Under Contract: 0.46
Registered Nurses - Under Contract: 0.91
Persons Not Included In Any Other Categories - Part Time: 0.61
Registered Nurses - Part Time: 1.30
Occupational Therapy Assistants - Under Contract: 2.33
Housekeeping Personnel - Part Time: 1.73
Licensed Practical/ Vocational Nurses - Under Contract: 1.89

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Offsite 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 Offsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Offsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Offsite 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 Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.950
State:

0.845
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.310
Massachusetts:

0.817
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.260
State:

1.661
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.050
State:

0.100
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.050
State:

0.101

Quality Measures

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

31.9%
State:

13.3%
Percent of long-stay residents who self-report moderate to severe pain
This Nursing Home:

10.6%
Massachusetts:

7.7%
Percent of long-stay high-risk residents with pressure ulcers
Here:

8.9%
Massachusetts:

5.6%
Percent of long-stay residents who lose too much weight
Here:

6.4%
Massachusetts:

6.5%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Here:

40.0%
State:

49.7%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

5.5%
State:

3.1%
Percent of long-stay residents with a urinary tract infection
Here:

7.2%
State:

7.0%
Percent of long-stay residents who have depressive symptoms
Here:

1.3%
State:

5.2%
Percent of long-stay residents who were physically restrained
This Nursing Home:

4.6%
State:

2.4%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

3.4%
Massachusetts:

3.0%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

100.0%
Massachusetts:

96.5%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

100.0%
Massachusetts:

96.8%
Percent of short-stay residents who self-report moderate to severe pain
This Nursing Home:

30.6%
State:

21.6%
Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

1.8%
Massachusetts:

1.6%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

100.0%
State:

90.2%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

100.0%
Massachusetts:

87.7%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

31.6%
State:

25.2%

Complaint Deficiency

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

Exits that are accessible at all times: Few (Immediate jeopardy to resident health or safety)

Signs that state that exit doors are to be kept closed: Few (Minimal harm or potential for actual harm)

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

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Many (Potential for minimal harm)

Properly protected cooking facilities: Many (Potential for minimal harm)

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Some (Minimal harm or potential for actual harm)

Develop policies and procedures for influenza and pneumococcal immunizations: 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)

Keep all essential equipment working safely: Some (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Many (Potential for minimal harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

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