Windsor Healthcare Residence Ltd
Details
| Type of Ownership |
For profit - Partnership |
| Participates in Medicare? |
Yes |
| Participates in Medicaid? |
Yes |
| Certified Beds |
82 |
| Continuing Care? |
No |
| Resident Council? |
Yes |
| Family Council? |
No |
| Multi-Home Chain? |
No |
| Located in a Hospital? |
No |
| Special Focus Facility? |
No |
View: Health Inspections |
Quality Measures |
Staffing |
Fire Inspections
Health Inspections
Most Recent Inspection: 12/14/2011
|
Date of last standard health inspection:
|
12/14/2011 |
|
Quality Indicator Survey
|
No |
|
Dates of Complaint Investigations:
|
04/01/2011 - 03/31/2012 |
|
Total number of Health Deficiencies for this nursing home:
|
0 |
|
Average number of Health Deficiencies in TX:
|
3 |
|
Average number of Health Deficiencies in US:
|
3 |
|
Range of Health Deficiencies in TX:
|
0 -
19 |
Inspection, 01/04/2012
Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure the activities program is directed by a qualified professional.
|
01/04/2012
|
03/00/2012
|
1
|
Many
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide housekeeping and maintenance services.
|
01/04/2012
|
03/00/2012
|
2
|
Some
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
01/04/2012
|
03/00/2012
|
2
|
Many
|
Nutrition and Dietary Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Store, cook, and serve food in a safe and clean way.
|
01/04/2012
|
03/00/2012
|
2
|
Many
|
Pharmacy Service Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
|
01/04/2012
|
03/00/2012
|
2
|
Many
|
Inspection, 00/04/2011
Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.
|
00/04/2011
|
00/04/2012
|
2
|
Some
|
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Have a program that investigates, controls and keeps infection from spreading.
|
00/04/2011
|
00/04/2012
|
2
|
Some
|
Nutrition and Dietary Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Store, cook, and serve food in a safe and clean way.
|
00/04/2011
|
00/04/2012
|
2
|
Many
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure that residents are fully informed and understand their health status, care and treatments.
|
00/04/2011
|
00/04/2012
|
2
|
Some
|
Inspection, 02/07/2007
Environmental Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
|
02/07/2007
|
01/07/2008
|
4
|
Few
|
Mistreatment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
1) Hire only people with 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.
|
02/07/2007
|
01/07/2008
|
2
|
Few
|
Resident Assessment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
|
02/07/2007
|
01/07/2008
|
2
|
Few
|
Resident Rights Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
|
02/07/2007
|
01/07/2008
|
2
|
Few
|
Inspection, 03/00/2003
Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
|
03/00/2003
|
02/05/2004
|
2
|
Some
|
Mistreatment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep each resident free from physical restraints, unless needed for medical treatment.
|
03/00/2003
|
02/05/2004
|
2
|
Some
|
Inspection, 03/00/2001
Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
|
03/00/2001
|
02/08/2002
|
2
|
Some
|
Pharmacy Service Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
|
03/00/2001
|
02/08/2002
|
2
|
Some
|
Inspection, 02/03/2001
Administration Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
|
02/03/2001
|
02/00/2002
|
2
|
Many
|
Quality Care Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Provide care by qualified persons according to each resident's written plan of care.
|
02/03/2001
|
02/00/2002
|
2
|
Some
|
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
|
|
National Average
|
Average in TX |
Golden Living Center, Asheville
|
|
RN Staff Only1
|
N/A
|
N/A
|
1 out of 5 stars
|
|
Total Number of Residents
|
85 |
72 |
47 |
Total, Licensed Nurse Staff Hours
per Resident per Day
|
15 hours 26 minutes |
32 hours 41 minutes |
1 hour 21 minutes |
RN Hours
per Resident per Day
|
14 hours 37 minutes |
31 hours 51 minutes |
20 minutes |
LPN/LVN Hours
per Resident per Day
|
14 hours 52 minutes |
32 hours 41 minutes |
1 hour |
CNA Hours
per Resident per Day
|
16 hours 21 minutes |
33 hours 41 minutes |
2 hours 41 minutes |
1 The star rating a nursing home received for the information it provided about its
Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing
hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the
number of staff hours per resident per day.
Long-Term Residents
Short-Term Residents
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in
the nursing home's Overall Rating.
Most Recent Inspection: 12/14/2011
|
Automatic Sprinkler Systems in all required areas
|
Yes |
|
Date of last standard fire safety inspection:
|
12/14/2011
|
|
Dates of Complaint Investigations:
|
04/01/2011 - 03/31/2012 |
|
Total number of Fire Safety Deficiencies for this nursing home:
|
0 |
|
Average number of Fire Safety Deficiencies in TX:
|
1 |
|
Average number of Fire Safety Deficiencies in US:
|
2 |
|
Range of Fire Safety Deficiencies in TX:
|
0 -
1 |
Inspection, 01/04/2012
Building Service Equipment Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Properly protected cooking facilities.
|
01/04/2012
|
03/00/2012
|
2
|
Many
|
Exits and Egress Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Exits that are accessible at all times.
|
01/04/2012
|
01/05/2002
|
2
|
Few
|
Furnishings and Decorations Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Properly sized and located linen or trash receptacles.
|
01/04/2012
|
03/00/2012
|
2
|
Many
|
Illumination and Emergency Power Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Emergency lighting that can last at least 1 1/2 hours.
|
01/04/2012
|
03/00/2001
|
1
|
Many
|
Inspection, 00/05/2011
Automatic Sprinkler Systems Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
An approved automatic sprinkler system connected to the fire alarm system.
|
00/05/2011
|
03/01/2012
|
2
|
Many
|
Smoke Compartmentation and Control Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Walls that prevent smoke from passing through and would resist fire for at least one hour.
|
00/05/2011
|
00/04/2012
|
2
|
Many
|
Inspection, 03/00/2001
Automatic Sprinkler Systems Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Automatic sprinkler systems that have been maintained in working order.
|
03/00/2001
|
02/05/2002
|
2
|
Many
|
Exits and Egress Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Exits that are accessible at all times.
|
03/00/2001
|
00/05/2003
|
2
|
Many
|
Fire Alarm Systems Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
An approved installation, maintenance and testing program for fire alarm systems.
|
03/00/2001
|
02/05/2002
|
2
|
Many
|
|
Properly maintained smoke detectors.
|
03/00/2001
|
02/05/2002
|
2
|
Many
|
Smoke Compartmentation and Control Deficiencies
|
|
Deficiency
|
Inspection Date
|
Correction Date
|
Level of Harm
|
Residents Affected
|
|
Walls that prevent smoke from passing through and would resist fire for at least one hour.
|
03/00/2001
|
01/05/2003
|
2
|
Many
|
