C

WINDSOR WOODS REHAB AND HEALTHCARE CENTER

13719 DALLAS DR, HUDSON, FL 34667
Score: 60 / 100

With a score of 60 out of 100, Windsor Woods Rehab And Healthcare Center earns a C grade — placing it near the middle of Florida nursing facilities. Families should review the detailed metrics below when considering this Hudson location.

Staffing levels are a potential concern at Windsor Woods Rehab And Healthcare Center, with 3.36 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent inspections identified 16 deficiencies at Windsor Woods Rehab And Healthcare Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.36 3.8 Below Average
Registered Nurses (RN) 0.53 0.7 Below Average
Licensed Practical Nurses (LPN) 0.74 0.7 Average
Certified Nursing Assistants (CNA) 2.09 2.4 Below Average
Weekend Total Nursing 3.15 3.8 Below Average
Weekend RN Hours 0.20 0.7 Below Average

🔍 Inspection & Deficiency History

16
Total Deficiencies
Apr 23, 2025
Most Recent Inspection
🟠 16 Moderate
View recent deficiencies (5 shown)
  • Tag 0842 Severity E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Apr 23, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Apr 23, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0849 Severity D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice serv
    Apr 23, 2025 · Administration Deficiencies
  • Tag 0550 Severity E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Jun 5, 2024 · Resident Rights Deficiencies
  • Tag 0645 Severity D
    PASARR screening for Mental disorders or Intellectual Disabilities
    Jun 5, 2024 · Resident Assessment and Care Planning 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 11.3% 4.5% Worse
Falls with major injury 2.4% 3.0% Better
On antipsychotic medication 17.3% 14.5% Worse
Urinary tract infections 0.3% 2.5% Better
ADL decline (daily activities) 9.5% 14.0% Better
Excessive weight loss 5.0% 7.5% Better
New/worsened incontinence 3.3% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 60 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

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

Facility Details

Ownership
Non profit - Other
Certified Beds
103
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jun 5, 2024
Deficiencies (Cycle 1)
9