Windsor Healthcare & Rehab Center faces challenges in its CMS ratings, earning a D grade with a score of 41/100. The facility ranks in the 48th percentile among Missouri nursing homes, suggesting significant room for improvement.
Staffing levels are a potential concern at Windsor Healthcare & Rehab Center, with 3.13 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 23 deficiencies at Windsor Healthcare & Rehab Center. 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 | 3.13 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.26 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.86 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.01 | 2.4 | Below Average |
| Weekend Total Nursing | 2.78 | 3.8 | Below Average |
| Weekend RN Hours | 0.31 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0567 Severity EHonor the resident's right to manage his or her financial affairs.Jun 24, 2025 · Resident Rights Deficiencies
- 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 dJun 24, 2025 · Resident Rights Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jun 24, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0803 Severity EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the neeJun 24, 2025 · Nutrition and Dietary Deficiencies
- Tag 0883 Severity EDevelop and implement policies and procedures for flu and pneumonia vaccinations.Jun 24, 2025 · Infection Control 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 | 4.2% | 4.5% | Average |
| Falls with major injury | 0.8% | 3.0% | Better |
| On antipsychotic medication | 42.9% | 14.5% | Worse |
| Urinary tract infections | 0.8% | 2.5% | Better |
| ADL decline (daily activities) | 22.2% | 14.0% | Worse |
| Excessive weight loss | 2.7% | 7.5% | Better |
| New/worsened incontinence | 17.2% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 41 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 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
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