| Douglas Manor | |
| 103 North Road, Windham, Connecticut 06280 | |
| (860) 423-4636 | |
| Name | Douglas Manor |
|---|---|
| Location | 103 North Road, Windham, Connecticut |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 90 |
| Occupancy Rate | 91.44% |
| Medicare ID (CCN) | 075258 |
| Legal Business Name | Windham Nursing & Rehabilitation LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Ryders Health Management (7 nursing homes) |
| Chain Average Overall Rating | 1.7 out of 5 |
| NPI Number | 1437152287 |
| Match | Possible same name, address or phone number |
| Organization Name | Windham Nursing & Rehabilitation LLC |
| Doing Business As | Douglas Manor |
| Address | 103 North Rd, Windham, CT 06280 |
| Phone Number | 860-423-4636 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.57 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.52 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.08 | 0.86 |
| Nurse aide hours per resident per day | 1.97 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.28 | 3.42 |
| RN hours per resident per day on the weekend | 0.42 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 31.7% | 45.8% |
| Registered nurse turnover | 10% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $8,278 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 8, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 20, 2026 |
| Apr 8, 2026 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 20, 2026 |
| Oct 15, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Nov 21, 2025 |
| Oct 15, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Nov 21, 2025 |
| Aug 18, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Aug 18, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Aug 18, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 29, 2025 |
| Apr 22, 2025 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 28, 2025 |
| Apr 22, 2025 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 28, 2025 |
| Apr 22, 2025 | Honor the resident's right to manage his or her financial affairs. F0567, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 28, 2025 |
| Apr 22, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jun 28, 2025 |
| Apr 22, 2025 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jun 28, 2025 |
| Apr 22, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jun 28, 2025 |
| Apr 22, 2025 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. F0940, Administration, Standard inspection | Potential for harm, pattern | Corrected by Jun 28, 2025 |
| Apr 22, 2025 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 28, 2025 |
| Apr 22, 2025 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 28, 2025 |
| Apr 22, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jun 28, 2025 |
| Apr 22, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jun 28, 2025 |
| Apr 22, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 28, 2025 |
| Apr 22, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 28, 2025 |
| Apr 22, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 28, 2025 |
| Apr 22, 2025 | Provide or obtain dental services for each resident. F0791, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 28, 2025 |
| Apr 22, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jun 28, 2025 |
| Apr 22, 2025 | Assure the security of all personal funds of residents deposited with the facility. F0570, Resident Rights, Standard inspection | Minimal harm potential, widespread | Corrected by Jun 28, 2025 |
| Apr 22, 2025 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. F0568, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by Jun 28, 2025 |
| Apr 7, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by May 19, 2025 |
| Apr 7, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by May 19, 2025 |
| Dec 6, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 23, 2024 |
| Jul 30, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 10, 2024 |
| Jul 30, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 10, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.88 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.91 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.04 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.36 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.16 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 82.83 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 49.84 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.17 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 19.97 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.49 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.15 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 54.05 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.74 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.99 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 23.48 | 15.38 |
Saint Josephs Living Center Inc Location: 14 Club Rd, Windham, Connecticut 06280 Phone: (860) 456-1107 |