Windsor Gardens Nursing Home Lancaster Tx

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

	Residents Affected
Severity of the Deficiency	Few	Some	Many
Immediate jeopardy to resident health or safety	J	K	L
Actual harm that is not immediate jeopardy	G	H	I
No actual harm with potential for more than minimal harm that is not immediate jeopardy	D	E	F
No actual harm with potential for minimal harm	A	B	C

October 31, 2020 - 13 months ago

	Residents Affected	Severity	Source/Type	View Full Report Description
D	Few	Potential for Harm	Complaint+Inspection	Infection Control Deficiencies: Provide and implement an infection prevention and control program.

November 27, 2019 - 2 years ago

	Residents Affected	Severity	Source/Type	View Full Report Description
D	Few	Potential for Harm	Complaint	Resident Assessment and Care Planning Deficiencies: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

April 24, 2019 - 3 years ago

	Residents Affected	Severity	Source/Type	View Full Report Description
F	Many	Potential for Harm	Complaint+Inspection	Nutrition and Dietary Deficiencies: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F	Many	Potential for Harm	Complaint+Inspection	Nutrition and Dietary Deficiencies: Dispose of garbage and refuse properly.

November 20, 2018 - 3 years ago

	Residents Affected	Severity	Source/Type	View Full Report Description
D	Few	Potential for Harm	Complaint	Resident Assessment and Care Planning Deficiencies: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
100.0%
96.3%
96.1%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine

100.0%
100.0%
100.0%
100.0%
95.4%
94.1%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine

38.5%
45.5%
77.3%
-
50.9%
48.1%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

* The data for this facility for some quarters is unavailable.

Percentage of low risk long-stay residents who lose control of their bowels or bladder

15.2%
10.9%
12.9%
10.8%
22.7%
19.5%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

Percentage of long-stay residents who received an antianxiety or hypnotic medication

16.6%
18.1%
15.6%
16.1%
18.1%
18.5%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

Percentage of long-stay residents whose ability to move independently worsened

10.0%
24.1%
9.3%
15.5%
17.2%
15.0%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

Percentage of long-stay residents whose need for help with daily activities has increased

1.3%
0.0%
0.0%
0.0%
12.0%
14.0%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

Percentage of long-stay residents who received an antipsychotic medication

5.4%
5.1%
10.2%
8.9%
7.3%
7.4%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

Percentage of high risk long-stay residents with pressure ulcers

0.0%
0.0%
0.0%
0.0%
3.8%
6.1%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

Percentage of long-stay residents who have depressive symptoms

0.0%
0.0%
0.0%
0.0%
4.8%
5.9%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

Percentage of long-stay residents who lose too much weight

0.0%
0.0%
0.0%
0.0%
3.4%
3.4%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

Percentage of long-stay residents experiencing one or more falls with major injury

0.0%
0.0%
0.0%
0.0%
2.1%
2.5%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

Percentage of long-stay residents with a urinary tract infection

1.2%
1.2%
3.5%
3.1%
1.5%
1.6%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

Percentage of long-stay residents with a catheter inserted and left in their bladder

0.0%
0.0%
0.0%
0.0%
0.1%
0.2%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

99.6%
100.0%
100.0%
100.0%
85.2%
83.7%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine

98.8%
98.8%
99.6%
99.6%
82.2%
82.6%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine

80.2%
69.4%
57.2%
53.6%
61.4%
69.0%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

Percentage of short-stay residents who made improvements in function

0.6%
1.2%
1.8%
1.7%
1.9%
1.8%

Q3 2019 Q4 2019 Q1 2020 Q2 2020 TX U.S.

Percentage of short-stay residents who newly received an antipsychotic medication

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