Windsor Grove Health And Rehabilitation has received an F grade based on CMS data, with a score of 34/100 — placing it among the lowest-rated nursing facilities in Virginia. Families considering this Windsor facility should carefully review its inspection history and quality metrics.
With 2.61 total nurse hours per resident per day, Windsor Grove Health And Rehabilitation falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 62 deficiencies at Windsor Grove Health And Rehabilitation. 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 | 2.61 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.29 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.74 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.57 | 2.4 | Below Average |
| Weekend Total Nursing | 2.21 | 3.8 | Below Average |
| Weekend RN Hours | 0.21 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0725 Severity FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Apr 30, 2025 · Nursing and Physician Services Deficiencies
- Tag 0730 Severity EObserve each nurse aide's job performance and give regular training.Apr 30, 2025 · Nursing and Physician Services Deficiencies
- Tag 0760 Severity EEnsure that residents are free from significant medication errors.Apr 30, 2025 · Pharmacy Service Deficiencies
- Tag 0558 Severity DReasonably accommodate the needs and preferences of each resident.Apr 30, 2025 · Resident Rights Deficiencies
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Apr 30, 2025 · Resident Rights 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 | 4.4% | 4.5% | Average |
| Falls with major injury | 2.8% | 3.0% | Average |
| On antipsychotic medication | 18.8% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 12.8% | 14.0% | Average |
| Excessive weight loss | 5.5% | 7.5% | Better |
| New/worsened incontinence | 29.0% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of F is based on a score of 34 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: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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