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Windsor Manor Rehabilitation Center
3806 CLAYTON ROAD
Concord, CA 94521
(925) 689-2266
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 190 |
| Number of Residents: | 177 |
| Percent of Occupied Beds: | 93% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Both |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: | |
| Quality Measures: | |
| RN Only: |  |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20080102 | Health | Resident Rights Deficiencies | Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. | Pattern | Minimal harm or potential for actual harm | 20080130 |
| 20080108 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20080218 |
| 20080108 | Health | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable. | Pattern | Minimal harm or potential for actual harm | 20080218 |
| 20080211 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20080322 |
| 20080211 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20080322 |
| 20080307 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20080408 |
| 20080403 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20080522 |
| 20080410 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Minimal harm or potential for actual harm | 20080512 |
| 20080410 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm | 20080512 |
| 20080801 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20080819 |
| 20080805 | Health | Mistreatment Deficiencies | Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm | 20080917 |
| 20080805 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Minimal harm or potential for actual harm | 20080917 |
| 20080805 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20080917 |
| 20101011 | Health | Resident Rights Deficiencies | Protect the resident from a transfer or discharge that is not wanted or needed. | Isolated | Minimal harm or potential for actual harm | 20101028 |
| 20101011 | Health | Resident Rights Deficiencies | Provide enough notice before discharging or transferring a resident. | Isolated | Minimal harm or potential for actual harm | 20101028 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 41 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 39 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 11 | |
| Percent of long-stay residents who have moderate to severe pain: | 9 | |
| Percent of high-risk long-stay residents who have pressure sores: | 20 | |
| Percent of low-risk long-stay residents who have pressure sores: | 4 | |
| Percent of long-stay residents who were physically restrained: | 6 | |
| Percent of long-stay residents who are more depressed or anxious: | 9 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 46 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 7 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 3 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 12 | |
| Percent of long-stay residents who had a urinary tract infection: | 9 | |
| Percent of long-stay residents who lose too much weight: | 2 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 36 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 25 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 43 | |
| Percent of short-stay residents who have pressure sores: | 18 | |
| # of Residents: | 177 |
| # RN Hours per Resident: | 0.64 |
| # LPN Hours per Resident: | 0.61 |
| # CNA Hours per Resident: | 2.19 |
| Total Staff Hours per Resident: | 1.25 |
