Windsor House

Contact Information:
4411 Mcallister Drive
Huntsville, Alabama 35805
Phone Number: (256) 837-8585

Windsor House Facility Information

Number of Certified Beds	117	Sprinkler Systems	Fully Sprinklered
Total Residents	99	Part of a Chain	Yes
Precent of Beds Occupied	85%	Located Within Hospital	No
Resident and Family Conseling	Resident & Family Counseling	Company Type	For profit - Corporation
Medicare/Medicaid	Participating in Medicare and Medicaid

Windsor House Nursing Home Staff

Average number of registered nurse (rn) hours per day per resident.	0.53
Average number of licensed practical or vocational nurse hours per day per nursing home resident.	0.85
Total number of hours worked by nursing staff for each resident in the nursing home.	1.38
Average number of certified nursing assistant (CNA) hours worked each week per resident.	2.34

Windsor House Resident Information

Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: 5%

Percent of Long Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 89%

Percent of Long Term Nursing Home Residents Who are More Depressed or Anxious: 14%

Percent of Long Term Nursing Home Residents Who Have Moderate to Severe Pain: 8%

Percent of Long Term Nursing Home Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 4%

Percent of Long Term Nursing Home Residents Who Lose Too Much Weight: 3%

Percent of Long Term Nursing Home Residents Who Spend Most of Their Time in Bed or in a Chair: 1%

Percent of Long Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 6%

Percent of Long Term Nursing Home Residents Who Were Physically Restrained: 10%

Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: 8%

Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: 10%

Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: 4%

Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: 0%

Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: 44%

Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: 57%

Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: 23%

Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: 4%

Percent of Short Term Nursing Home Residents With Delirium: 2%

Percent of Short Term Nursing Home Residents With Pressure Sores: 8%

Nursing Home Violations by Windsor House

Health Violations:
Category:	Date:	Specific Violation:	Scope:	Level of Harm Caused:
Mistreatment Deficiencies	07/17/2003	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.	Isolated	Minimal harm or potential for actual harm
Resident Rights Deficiencies	07/17/2003	Try to resolve each resident's complaints quickly.	Pattern	Minimal harm or potential for actual harm
Environmental Deficiencies	05/12/2004	Make sure that staff members wash their hands when needed.	Isolated	Minimal harm or potential for actual harm
Mistreatment Deficiencies	05/12/2004	Keep each resident free from physical restraints, unless needed for medical treatment.	Isolated	Minimal harm or potential for actual harm
Nutrition and Dietary Deficiencies	05/12/2004	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.	Widespread	Potential for minimal harm
Pharmacy Service Deficiencies	05/12/2004	Make sure that the pharmacist reports anything unusual to the doctor on duty and the director of nursing.	Isolated	Minimal harm or potential for actual harm
Pharmacy Service Deficiencies	05/12/2004	Keep drugs and other similar products locked safely and properly stored.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	05/12/2004	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	05/12/2004	Give each resident enough fluids to keep them healthy and prevent dehydration.	Isolated	Minimal harm or potential for actual harm
Environmental Deficiencies	11/03/2005	Have a program to keep infection from spreading.	Widespread	Minimal harm or potential for actual harm
Environmental Deficiencies	11/03/2005	Move, clean and store sheets, towels and other linens in a way that prevents the spread of infection.	Pattern	Minimal harm or potential for actual harm
Mistreatment Deficiencies	11/03/2005	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.	Pattern	Minimal harm or potential for actual harm
Quality Care Deficiencies	11/03/2005	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	11/03/2005	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	11/03/2005	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Isolated	Minimal harm or potential for actual harm
Resident Rights Deficiencies	11/03/2005	Tell the resident completely about his or her health status.	Widespread	Potential for minimal harm
Resident Rights Deficiencies	11/03/2005	Try to resolve each resident's complaints quickly.	Pattern	Minimal harm or potential for actual harm
Resident Rights Deficiencies	11/03/2005	Provide care in a way that keeps or builds each resident's dignity and self respect.	Isolated	Minimal harm or potential for actual harm
Fire Safety Violations:
Category:	Date:	Specific Violation:	Scope:	Level of Harm Caused:
Emergency Plans and Fire Drills Deficiencies	07/23/2003	record of quarterly fire drills for each shift under varying conditions.	Pattern	Potential for minimal harm
Exits and Egress Deficiencies	07/23/2003	exits that are accessible at all times.	Isolated	Minimal harm or potential for actual harm
Miscellaneous Deficiencies	07/23/2003	fire safety features required by current fire safety codes.	Widespread	Potential for minimal harm
Smoking Regulations Deficiencies	07/23/2003	posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed.	Pattern	Potential for minimal harm
Building Service Equipment Deficiencies	05/20/2004	restrictions on the use of portable space heaters.	Isolated	Minimal harm or potential for actual harm
Exits and Egress Deficiencies	05/20/2004	corridors or aisles that are unobstructed and are at least 8 feet in width.	Isolated	Minimal harm or potential for actual harm
Electrical Deficiencies	11/09/2005	properly installed electrical wiring and equipment.	Isolated	Minimal harm or potential for actual harm
Fire Alarm Systems Deficiencies	11/09/2005	an approved installation, maintenance and testing program for fire alarm systems.	Isolated	Minimal harm or potential for actual harm
Hazardous Area Deficiencies	11/09/2005	construction that can resist fire for one hour or an approved fire extinguishing system.	Isolated	Minimal harm or potential for actual harm
Medical Gases and Anesthetizing Areas Deficiencies	11/09/2005	proper medical gas storage and administration areas.	Isolated	Minimal harm or potential for actual harm
Smoke Compartmentation and Control Deficiencies	11/09/2005	proper construction of ducts through walls designed to prevent smoke passage.	Isolated	Minimal harm or potential for actual harm

Windsor House

Windsor House Facility Information

Windsor House Nursing Home Staff

Windsor House Resident Information

Nursing Home Violations by Windsor House