Encore At Windsor Hills earns a solid B grade from CMS data, with a score of 84/100. Performing above average across most metrics, this Wilmington facility ranks in the 82th percentile among Delaware nursing homes.
Staffing levels at Encore At Windsor Hills exceed national averages, with 4.45 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.25 hours per resident per day also exceeds the national average of 0.7 hours.
Recent inspections identified 19 deficiencies at Encore At Windsor Hills. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.45 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.25 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.61 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.59 | 2.4 | Average |
| Weekend Total Nursing | 3.96 | 3.8 | Average |
| Weekend RN Hours | 0.76 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Feb 25, 2024 · Quality of Life and Care Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Feb 25, 2024 · Nutrition and Dietary Deficiencies
- Tag 0623 Severity DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including aFeb 25, 2024 · Resident Rights Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiFeb 25, 2024 · Pharmacy Service Deficiencies
- Tag 0804 Severity DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.Feb 25, 2024 · Nutrition and Dietary 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 | 0.9% | 4.5% | Better |
| Falls with major injury | 1.5% | 3.0% | Better |
| On antipsychotic medication | 10.4% | 14.5% | Better |
| Urinary tract infections | 3.1% | 2.5% | Worse |
| ADL decline (daily activities) | 10.0% | 14.0% | Better |
| Excessive weight loss | 5.6% | 7.5% | Better |
| New/worsened incontinence | 19.2% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $19,837
How This Grade Was Calculated
This facility's grade of B is based on a score of 84 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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