WINDSOR CARE CENTER - MOUNT STERLING, KY

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Addresss:

125 STERLING WAY
MOUNT STERLING, KY, 40353

Phone (make sure to verify first before calling): (859) 498-3343

Number of Certified Beds: 144
Total Number of Residents: 126
Percent of Occupied Beds: 88%
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: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 3 Stars

Other nearby hospitals and nursing homes

CLARK COUNTY HOME HEALTH AGENCY (WINCHESTER, 15.12 miles)
FMC - MT. STERLING (0.04 miles)
FMC - WINCHESTER (WINCHESTER, 14.16 miles)
HILLTOP LODGE (OWINGSVILLE, 11.65 miles)
HOSPICE EAST (WINCHESTER, 15.15 miles)
RIDGEWAY NURSING AND REHABILITATION FACILITY (OWINGSVILLE, 13.47 miles)
KINDRED TRANSITIONAL CARE AND REHAB-FOUNTAIN CIRCLE (WINCHESTER, 14.70 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 7.89

Administrative Staff - Part Time: 0.87

Certified Nurse Aides - Full Time: 37.87

Certified Nurse Aides - Part Time: 7.60

Food Service Personnel - Full Time: 6.99

Food Service Personnel - Part Time: 6.43

Housekeeping Personnel - Full Time: 10.20

Licensed Practical/ Vocational Nurses - Full Time: 11.53

Licensed Practical/ Vocational Nurses - Part Time: 2.03

Nurses With Administrative Duties - Full Time: 3.31

Persons Not Included In Any Other Categories - Full Time: 1.83

Registered Nurses - Full Time: 1.51

Rn Director Of Nursing - Full Time: 1.14

Social Workers - Full Time: 1.14

Activities Professionals - Full Time: 3.31

Dietitians - Part Time: 0.30

Occupational Therapists - Under Contract: 1.39

Speech Pathologists - Under Contract: 0.79

Persons Not Included In Any Other Categories - Part Time: 0.86

Registered Nurses - Part Time: 0.39

Housekeeping Personnel - Part Time: 3.14

Nurse Aides In Training - Part Time: 2.37

Medication Aides/ Technicians - Part Time: 0.66

Medication Aides/ Technicians - Full Time: 8.21

Number Of Beds

Total: 98

Total Certified: 98

Provided Services

Activities Services Are Provided Onsite To Nonresidents

Activities Services Are Provided Onsite To Residents

Administration And Storage Of Blood Services Are Provided Offsite To Residents

Clinical Laboratory Services Are Provided Offsite To Residents

Clinical Laboratory Services Are Provided Onsite To Residents

Dental Services Are Provided Offsite To Residents

Dental Services Are Provided Onsite To Residents

Diagnostic Xray Services Are Provided Offsite To Residents

Dietary Services Are Provided Onsite To Non Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping Services Are Provided Onsite To Residents

Mental Health Services Are Provided Offsite To Residents

Mental Health Services Are Provided Onsite To Residents

Nursing Services Are Provided Onsite To Non Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Onsite To Non Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Onsite To Non Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Extender Services Are Provided Offsite To Residents

Physician Extender Services Are Provided Onsite To Non Residents

Physician Extender Services Are Provided Onsite To Residents

Physician Services Are Provided Offsite To Residents

Physician Services Are Provided Onsite To Non Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Onsite To Non Residents

Podiatry Services Are Provided Onsite To Residents

Social Work Services Are Provided Onsite To Non Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Non Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

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

This Nursing Home:	15.5%
Kentucky:	16.4%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	5.2%
Kentucky:	13.2%

Percent of long-stay high-risk residents with pressure ulcers

Here:	5.9%
Kentucky:	6.9%

Percent of long-stay residents who lose too much weight

This Nursing Home:	1.8%
State:	8.3%

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

This Nursing Home:	30.4%
Kentucky:	44.9%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	5.6%
State:	5.1%

Percent of long-stay residents with a urinary tract infection

Here:	2.7%
Kentucky:	8.7%

Percent of long-stay residents who have depressive symptoms

Here:	1.9%
Kentucky:	6.4%

Percent of long-stay residents who were physically restrained

This Nursing Home:	0.9%
Kentucky:	3.4%

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

This Nursing Home:	5.4%
State:	3.5%

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

This Nursing Home:	100.0%
State:	95.5%

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

This Nursing Home:	100.0%
Kentucky:	96.8%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	6.9%
Kentucky:	25.0%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	1.9%
State:	1.6%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
State:	88.6%

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

Here:	99.0%
Kentucky:	87.8%

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

This Nursing Home:	1.5%
State:	3.4%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	27.7%
State:	25.6%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.490
Kentucky:	0.690

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.930
State:	0.901

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.420
State:	1.591

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.010
Kentucky:	0.070

Number Therapy Hours Per Resident Per Day

Here:	0.010
Kentucky:	0.074

Complaint Deficiency

Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Review or revise the resident's care plan after any major change in a resident's physical or mental health
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Post nurse staffing information/data on a daily basis
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Back-up procedures in place for a faulty automatic sprinkler system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are accessible at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Exits that are free from obstructions and can be used at all times
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Emergency showers
- Harm: Potential for minimal harm
- Scope: Many
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Emergency lighting that can last at least 1 1/2 hours
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have an adequate water supply for the sprinkler system
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Restrictions on the use of portable space heaters
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Other fire safety features required by fire safety codes
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Automatic sprinkler systems that have been maintained in working order
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep all essential equipment working safely
- Harm: Minimal harm or potential for actual harm
- Scope: Some

WINDSOR CARE CENTER - MOUNT STERLING, KY

Quality Measures

Staff Information

Complaint Deficiency

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