REGENCY HEIGHTS OF WINDHAM, LLC

The information listed below provides an in-depth look into the type and quality of care offered at Regency Heights of Windham, LLC. 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

REGENCY HEIGHTS OF WINDHAM, LLC
595 VALLEY ST
WILLIMANTIC, CT 06226
(860) 450-7060

Nursing Home Ratings

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

Percent of Beds Occupied

89%

Number of Residents and Certified Beds

  • Residents: 110
  • Certified Beds: 124

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:

Windham | Colchester | Norwich

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 Regency Heights of Windham, LLC. 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: 11-1616.3%
ADL Index Range: 6-105.4%
ADL Index Range: 0-513.7%
Total Percent:35.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-168.2%
ADL Index Range: 6-105.1%
ADL Index Range: 0-516.6%
Total Percent:29.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1611.2%
ADL Index Range: 6-102.5%
ADL Index Range: 0-51.4%
Total Percent:15.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1613.4%
ADL Index Range: 6-100.9%
Total Percent:14.3%
 

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
3.0%
ADL Index Range: 11-14
- No Signs of depression
1.5%
ADL Index Range: 6-10
- No Signs of depression
0.8%
Total Percent:5.3%
 

Rating Details For Regency Heights of Windham, LLC

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) Hours47 Minutes1 Hour and 3 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 2 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 45 Minutes2 Hours and 17 Minutes
Total Licensed Nurse Hours1 Hour and 49 Minutes1 Hour and 42 Minutes
Total Nurse Hours4 Hours and 35 Minutes3 Hours and 59 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 Connecticut are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityConnecticut Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%88%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%85%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores2%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder8%4%
Percent of Long-Stay Residents Who Were Physically Restrained-3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased21%15%
Percent of Long-Stay Residents Who Lose Too Much Weight8%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-2%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse15%12%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair4%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder35%52%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%2%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection4%7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious11%11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%79%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%78%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores5%12%
Percent of Short-Stay Residents Who Have Delirium2%2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain20%19%

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 04/14/2011.

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

Administration

Follow All Laws and Professional Standards.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/23/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/23/2009

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/23/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/23/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/14/2011
  • Correction Date: 05/26/2011

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: 04/14/2011
  • Correction Date: 05/26/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 04/14/2011
  • Correction Date: 05/26/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/23/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/23/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/23/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/23/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 02/11/2010
  • Correction Date: 03/12/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/23/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 01/16/2009
  • Correction Date: 02/23/2009
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 04/14/2011
  • Correction Date: 05/26/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Regency Heights of Windham, LLC, 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

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 02/11/2010
  • Correction Date: 03/12/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 02/11/2010
  • Correction Date: 03/12/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 02/11/2010
  • Correction Date: 03/12/2010

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident.
  • Complaint Filed: 11/18/2008
  • Correction Date: 12/19/2008
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility.
  • Complaint Filed: 11/18/2008
  • Correction Date: 12/19/2008
Write and Use a Policy That Lets Each Resident Return to the Nursing Home After a Hospital Stay or Leave for Therapy.
  • Complaint Filed: 11/18/2008
  • Correction Date: 12/19/2008

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 Regency Heights of Windham, LLC 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 04/11/2011.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 02/16/2010
  • Correction Date: 04/01/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 04/11/2011
  • Correction Date: 04/12/2011

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 04/11/2011
  • Correction Date: 04/12/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 01/13/2009
  • Correction Date: 04/13/2009
Source: Medicare Nursing Home Compare; Department of Public Health of Connecticut - Division of Health Systems Regulation - Retrieved 2011