WINDSOR NURSING & REHAB CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Windsor Nursing & Rehab 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 NURSING & REHAB CENTER
2305 CRESCENT DRIVE
CEDAR FALLS, IA 50613
(319) 268-0489

Nursing Home Ratings

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

Percent of Beds Occupied

69%

Number of Residents and Certified Beds

  • Residents: 69
  • Certified Beds: 100

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

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

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Nearby Cities:

Waterloo | Denver | Shell Rock

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 "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 Nursing & Rehab 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

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1614.9%
ADL Index Range: 6-106.9%
ADL Index Range: 0-510.9%
Total Percent:32.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.5%
ADL Index Range: 6-1012.4%
ADL Index Range: 0-522.3%
Total Percent:37.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-168.9%
ADL Index Range: 6-106.9%
Total Percent:15.8%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-5
- No Signs of depression
4.5%
Total Percent:4.5%
 

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: 15-16
- Less restorative nursing
2.0%
ADL Index Range: 11-14
- Less restorative nursing
2.0%
ADL Index Range: 2-5
- Less restorative nursing
5.9%
Total Percent:9.9%
 

Rating Details For Windsor Nursing & Rehab 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) Hours32 Minutes58 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours49 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 48 Minutes2 Hours and 23 Minutes
Total Licensed Nurse Hours1 Hour and 21 Minutes1 Hour and 35 Minutes
Total Nurse Hours3 Hours and 9 Minutes3 Hours and 58 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 Iowa are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityIowa Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination83%94%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder3%6%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious24%16%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Lose Too Much Weight4%6%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder40%44%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection15%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%2%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%13%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination55%91%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season71%91%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%5%
Percent of Short-Stay Residents Who Have Pressure Sores4%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain40%23%

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 04/15/2011.

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/20/2009
  • Correction Date: 02/23/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/20/2009
  • Correction Date: 02/23/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 02/12/2010
  • Correction Date: 03/05/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 02/12/2010
  • Correction Date: 03/05/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/12/2010
  • Correction Date: 03/05/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 02/12/2010
  • Correction Date: 03/05/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/12/2010
  • Correction Date: 03/05/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Windsor Nursing & Rehab 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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 06/04/2008
  • Correction Date: 06/27/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 03/03/2011
  • Correction Date: 01/01/1900
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 04/15/2011
  • Correction Date: 05/13/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Complaint Filed: 04/15/2011
  • Correction Date: 05/13/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 04/15/2011
  • Correction Date: 05/13/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 04/15/2011
  • Correction Date: 05/13/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 04/15/2011
  • Correction Date: 05/13/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Complaint Filed: 04/15/2011
  • Correction Date: 05/13/2011

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 04/15/2011
  • Correction Date: 05/13/2011

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 Nursing & Rehab 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 04/15/2011.

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

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 04/15/2011
  • Correction Date: 04/20/2011
Portable Fire Extinguishers.
  • Inspection Date: 04/15/2011
  • Correction Date: 04/15/2011

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 03/03/2009
  • Correction Date: 03/20/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/03/2009
  • Correction Date: 03/20/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 03/03/2009
  • Correction Date: 03/20/2009

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 03/03/2009
  • Correction Date: 03/30/2009

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 02/17/2010
  • Correction Date: 02/18/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/03/2009
  • Correction Date: 03/27/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/15/2011
  • Correction Date: 04/19/2011

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs.
  • Inspection Date: 03/03/2009
  • Correction Date: 03/27/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 02/17/2010
  • Correction Date: 02/18/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 03/03/2009
  • Correction Date: 03/20/2009
Source: Medicare Nursing Home Compare; Department of Inspections and Appeals of Iowa - Health Facilities Division - Retrieved 2011