Windsor Nursing & Retirement Home has received an F grade based on CMS data, with a score of 27/100 — placing it among the lowest-rated nursing facilities in Massachusetts. Families considering this South Yarmouth facility should carefully review its inspection history and quality metrics.
Staffing at Windsor Nursing & Retirement Home is near the national average, with 3.93 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 42 deficiencies at Windsor Nursing & Retirement Home. 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 | 3.93 | 3.8 | Average |
| Registered Nurses (RN) | 0.61 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.88 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.44 | 2.4 | Average |
| Weekend Total Nursing | 3.41 | 3.8 | Below Average |
| Weekend RN Hours | 0.34 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dJan 8, 2025 · Resident Rights Deficiencies
- Tag 0685 Severity EAssist a resident in gaining access to vision and hearing services.Jan 8, 2025 · Quality of Life and Care Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiJan 8, 2025 · Pharmacy Service Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jan 8, 2025 · Nutrition and Dietary Deficiencies
- Tag 0842 Severity ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarJan 8, 2025 · 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 | 4.7% | 4.5% | Average |
| Falls with major injury | 2.8% | 3.0% | Average |
| On antipsychotic medication | 19.6% | 14.5% | Worse |
| Urinary tract infections | 1.9% | 2.5% | Better |
| ADL decline (daily activities) | 20.8% | 14.0% | Worse |
| Excessive weight loss | 6.0% | 7.5% | Better |
| New/worsened incontinence | 10.2% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $12,386
How This Grade Was Calculated
This facility's grade of F is based on a score of 27 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -5 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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