Windsor Nursing & Retirement Home - South Yarmouth Nursing Home
General Information
UPDATEFederal Provider Number
225349
Provider Name
WINDSOR NURSING & RETIREMENT HOME
Provider Address
265 N MAIN ST
SOUTH YARMOUTH, MA 2664
SOUTH YARMOUTH, MA 2664
Provider Phone Number
5083943514
Provider SSA County
0
Provider County Name
Barnstable
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTH YARMOUTH MANAGEMENT SYSTEMS INC
Date First Approved to Provide Medicare and Medicaid services
1989-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.45192
Reported LPN Staffing Hours per Resident per Day
0.63846
Reported RN Staffing Hours per Resident per Day
0.81635
Reported Licensed Staffing Hours per Resident per Day
1.45481
Reported Total Nurse Staffing Hours per Resident per Day
3.90673
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07356
Expected CNA Staffing Hours per Resident per Day
2.28941
Expected LPN Staffing Hours per Resident per Day
0.66037
Expected RN Staffing Hours per Resident per Day
1.02263
Expected Total Nurse Staffing Hours per Resident per Day
3.97242
Adjusted CNA Staffing Hours per Resident per Day
2.62787
Adjusted LPN Staffing Hours per Resident per Day
0.80246
Adjusted RN Staffing Hours per Resident per Day
0.59648
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96424
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-09-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-07-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1365
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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