C

Windemere Park Health and Rehabilitation Center

31800 Van Dyke Avenue, Warren, MI 48093
Score: 69 / 100

Windemere Park Health And Rehabilitation Center is an average performer in CMS ratings, earning a C grade with a score of 69/100. Located in Warren, Michigan, the facility meets baseline standards across most quality metrics.

Staffing at Windemere Park Health And Rehabilitation Center is near the national average, with 3.98 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 22 deficiencies at Windemere Park Health And Rehabilitation Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.98 3.8 Average
Registered Nurses (RN) 0.54 0.7 Below Average
Licensed Practical Nurses (LPN) 1.40 0.7 Above Average
Certified Nursing Assistants (CNA) 2.04 2.4 Below Average
Weekend Total Nursing 3.47 3.8 Average
Weekend RN Hours 0.30 0.7 Below Average

🔍 Inspection & Deficiency History

22
Total Deficiencies
Apr 29, 2025
Most Recent Inspection
🟠 22 Moderate
View recent deficiencies (5 shown)
  • Tag 0813 Severity F
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    Apr 29, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0808 Severity D
    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed b
    Apr 29, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0919 Severity D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    Apr 29, 2025 · Environmental Deficiencies
  • Tag 0602 Severity D
    Protect each resident from the wrongful use of the resident's belongings or money.
    Sep 30, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Sep 30, 2024 · Freedom from Abuse, Neglect, and Exploitation 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 2.4% 4.5% Better
Falls with major injury 4.8% 3.0% Worse
On antipsychotic medication 25.2% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 29.4% 14.0% Worse
Excessive weight loss 2.8% 7.5% Better
New/worsened incontinence 32.4% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 69 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 2★ → 8 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
For profit - Individual
Certified Beds
92
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 29, 2025
Deficiencies (Cycle 1)
3