F

DOUGLAS MANOR

103 NORTH ROAD, WINDHAM, CT 06280
Score: 35 / 100

Douglas Manor has received an F grade based on CMS data, with a score of 35/100 — placing it among the lowest-rated nursing facilities in Connecticut. Families considering this Windham facility should carefully review its inspection history and quality metrics.

Staffing at Douglas Manor is near the national average, with 3.53 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 55 deficiencies at Douglas Manor. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.53 3.8 Average
Registered Nurses (RN) 0.58 0.7 Below Average
Licensed Practical Nurses (LPN) 0.98 0.7 Above Average
Certified Nursing Assistants (CNA) 1.97 2.4 Below Average
Weekend Total Nursing 3.21 3.8 Below Average
Weekend RN Hours 0.47 0.7 Below Average

🔍 Inspection & Deficiency History

55
Total Deficiencies
Oct 14, 2025
Most Recent Inspection
⚪ 4 Minor 🟠 51 Moderate
View recent deficiencies (5 shown)
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Oct 14, 2025 · Quality of Life and Care Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Oct 14, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0645 Severity D
    PASARR screening for Mental disorders or Intellectual Disabilities
    Aug 17, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0655 Severity D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    Aug 17, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Aug 17, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.3% 4.5% Worse
Falls with major injury 5.9% 3.0% Worse
On antipsychotic medication 23.1% 14.5% Worse
Urinary tract infections 1.1% 2.5% Better
ADL decline (daily activities) 26.6% 14.0% Worse
Excessive weight loss 3.3% 7.5% Better
New/worsened incontinence 17.5% 45.0% Better

How This Grade Was Calculated

This facility's grade of F is based on a score of 35 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
90
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 21, 2025
Deficiencies (Cycle 1)
24