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)

Other nearby hospitals and nursing homes

CAPE COD ARTIFICIAL KIDNEY CENTER (BMA CAPE COD) (YARMOUTH, 4.10 miles)
OLSTEN KIMBERLY QUALITY CARE (YARMOUTH PORT, 2.64 miles)
HOSPICE OF VNA OF CEN AND OUTER CAPE COD (SOUTH DENNIS, 1.61 miles)
HYANNIS SKILLED CARE CENTER (HYANNIS, 5.17 miles)
LEWIS BAY CONV HOME (HYANNIS, 5.17 miles)
MAYFLOWER PLACE NURSING CENTER (WEST YARMOUTH, 4.25 miles)
CAPE COD HOSPITAL (HYANNIS, 5.16 miles)

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