WINDSOR HEALTHCARE RESIDENCE LTD

The information listed below provides an in-depth look into the type and quality of care offered at Windsor Healthcare Residence Ltd. 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 HEALTHCARE RESIDENCE LTD
1025 W YEAGUA
GROESBECK, TX 76642
(254) 729-3366

Nursing Home Ratings

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

Percent of Beds Occupied

54%

Number of Residents and Certified Beds

  • Residents: 49
  • Certified Beds: 90

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

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

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Nearby Cities:

Mexia | Mart | Wortham

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 "Very 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 Healthcare Residence Ltd. 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: 11-166.9%
ADL Index Range: 0-515.5%
Total Percent:22.3%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-101.4%
ADL Index Range: 0-549.1%
Total Percent:50.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-104.1%
ADL Index Range: 0-510.3%
Total Percent:14.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.7%
ADL Index Range: 6-104.8%
ADL Index Range: 0-50.3%
Total Percent:7.9%
 

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: 6-10
- No Signs of depression
4.8%
Total Percent:4.8%
 

Rating Details For Windsor Healthcare Residence Ltd

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) Hours27 Minutes56 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours45 Minutes35 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 29 Minutes2 Hours and 17 Minutes
Total Licensed Nurse Hours1 Hour and 13 Minutes1 Hour and 31 Minutes
Total Nurse Hours3 Hours and 41 Minutes3 Hours and 48 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 Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season88%91%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination77%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%9%
Percent of Long-Stay Residents Who Were Physically Restrained3%4%
Percent of Long-Stay Residents Who Lose Too Much Weight14%6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores16%12%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased9%18%
Percent of Long-Stay Residents Who Are More Depressed or Anxious26%13%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse6%12%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%6%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder30%46%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination40%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season74%84%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium8%3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain34%16%
Percent of Short-Stay Residents Who Have Pressure Sores11%11%

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 11/04/2010.

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

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 08/14/2008
  • Correction Date: 09/14/2008
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 11/04/2010
  • Correction Date: 12/04/2010

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 08/14/2008
  • Correction Date: 09/14/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/04/2010
  • Correction Date: 12/04/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 11/04/2010
  • Correction Date: 12/04/2010

Quality Care

Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
  • Inspection Date: 09/24/2009
  • Correction Date: 10/24/2009

Resident Rights

Tell the Resident Completely About His or Her Health Status.
  • Inspection Date: 11/04/2010
  • Correction Date: 12/04/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Windsor Healthcare Residence Ltd, 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

Quality Care

Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
  • Complaint Filed: 04/02/2009
  • Correction Date: 04/24/2009

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 Healthcare Residence Ltd 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 11/05/2010.

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

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 08/20/2008
  • Correction Date: 09/20/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/31/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/25/2009
  • Correction Date: 10/25/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 08/20/2008
  • Correction Date: 09/20/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/25/2009
  • Correction Date: 10/25/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 08/20/2008
  • Correction Date: 09/20/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/05/2010
  • Correction Date: 12/04/2010
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011