WINDSOR HEALTH & REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Windsor Health & Rehabilitation Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

WINDSOR HEALTH & REHABILITATION CENTER
820 COTTAGE STREET NE
SALEM, OR 97301
(503) 399-1135

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

43%

Number of Residents and Certified Beds

  • Residents: 43
  • Certified Beds: 100

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Keizer | Independence | Silverton

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Windsor Health & Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1610.5%
ADL Index Range: 6-109.7%
ADL Index Range: 0-513.4%
Total Percent:33.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.8%
ADL Index Range: 6-109.7%
ADL Index Range: 0-511.2%
Total Percent:21.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.8%
ADL Index Range: 6-100.3%
ADL Index Range: 0-511.7%
Total Percent:17.8%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-164.2%
ADL Index Range: 6-102.0%
ADL Index Range: 0-58.5%
Total Percent:14.7%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.7%
ADL Index Range: 11-14
- No Signs of depression
2.0%
ADL Index Range: 6-10
- No Signs of depression
0.4%
ADL Index Range: 2-5
- No Signs of depression
2.0%
Total Percent:5.1%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 0-1
- No Signs of depression
2.7%
Total Percent:2.7%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
0.3%
Total Percent:0.3%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 2-5
- Less restorative nursing
3.5%
ADL Index Range: 0-1
- Less restorative nursing
0.6%
Total Percent:4.1%
 

Rating Details For Windsor Health & Rehabilitation Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours39 Minutes1 Hour and 38 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours43 Minutes54 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 33 Minutes2 Hours and 33 Minutes
Total Licensed Nurse Hours1 Hour and 21 Minutes2 Hours and 31 Minutes
Total Nurse Hours3 Hours and 55 Minutes5 Hours and 5 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Oregon are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityOregon Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season80%83%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination85%83%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder21%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious29%13%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair7%7%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection5%11%
Percent of Long-Stay Residents Who Lose Too Much Weight14%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores18%10%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder83%60%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain12%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased8%10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination78%76%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season74%75%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores8%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain55%30%
Percent of Short-Stay Residents Who Have Delirium3%3%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/13/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 04/30/2008
  • Correction Date: 06/19/2008

Environmental

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 04/30/2008
  • Correction Date: 06/19/2008

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 04/30/2008
  • Correction Date: 06/19/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/30/2008
  • Correction Date: 06/19/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/30/2008
  • Correction Date: 06/19/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/30/2008
  • Correction Date: 06/19/2008
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Inspection Date: 04/30/2008
  • Correction Date: 06/19/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/15/2009
  • Correction Date: 05/27/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 04/15/2009
  • Correction Date: 05/27/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 04/13/2010
  • Correction Date: 05/26/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/13/2010
  • Correction Date: 05/26/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 04/13/2010
  • Correction Date: 05/26/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 04/30/2008
  • Correction Date: 06/19/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/15/2009
  • Correction Date: 05/27/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 04/13/2010
  • Correction Date: 05/26/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/13/2010
  • Correction Date: 05/26/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 04/13/2010
  • Correction Date: 05/26/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Windsor Health & Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Complaint Filed: 06/11/2010
  • Correction Date: 07/26/2010

Mistreatment

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.
  • Complaint Filed: 06/11/2010
  • Correction Date: 07/26/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Complaint Filed: 12/08/2009
  • Correction Date: 01/13/2010
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Complaint Filed: 06/11/2010
  • Correction Date: 07/26/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 09/11/2008
  • Correction Date: 10/31/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 09/11/2008
  • Correction Date: 10/31/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 10/02/2009
  • Correction Date: 11/17/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 06/11/2010
  • Correction Date: 07/26/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 06/11/2010
  • Correction Date: 07/26/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 06/11/2010
  • Correction Date: 07/26/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 06/03/2011
  • Correction Date: 06/28/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 06/03/2011
  • Correction Date: 06/28/2011

Resident Assessment

Assess the Resident when the Resident Enters the Nursing Home, in a Timely Manner.
  • Complaint Filed: 09/11/2008
  • Correction Date: 10/31/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 09/11/2008
  • Correction Date: 10/31/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Complaint Filed: 06/11/2010
  • Correction Date: 07/26/2010

Resident Rights

Try to Resolve Each Resident's Complaints Quickly.
  • Complaint Filed: 06/11/2010
  • Correction Date: 07/26/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 06/11/2010
  • Correction Date: 07/26/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Windsor Health & Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 04/07/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Portable Fire Extinguishers.
  • Inspection Date: 05/02/2008
  • Correction Date: 06/19/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/15/2009
  • Correction Date: 05/27/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/07/2010
  • Correction Date: 05/26/2010
Portable Fire Extinguishers.
  • Inspection Date: 04/07/2010
  • Correction Date: 05/26/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 05/02/2008
  • Correction Date: 06/19/2008
Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 04/15/2009
  • Correction Date: 05/27/2009
Properly Protected Cooking Facilities.
  • Inspection Date: 04/07/2010
  • Correction Date: 05/26/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/07/2010
  • Correction Date: 05/26/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/15/2009
  • Correction Date: 05/27/2009

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 05/02/2008
  • Correction Date: 06/19/2008
Source: Medicare Nursing Home Compare; Seniors and People with Disability - Retrieved 2011