| Windsor Park Rehab & Nursing Center | |
| 212 40 Hillside Avenue, Queens Village, New York 11427 | |
| (718) 468-0800 | |
| Name | Windsor Park Rehab & Nursing Center |
|---|---|
| Location | 212 40 Hillside Avenue, Queens Village, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 70 |
| Occupancy Rate | 87.86% |
| Medicare ID (CCN) | 335155 |
| Legal Business Name | Windsor Park Nursing Home, Inc. |
| Ownership Type | For Profit - Corporation |
| NPI Number | 1639393168 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Windsor Park Nursing Home, Inc. |
| Address | 21240 Hillside Ave, Queens Village, NY 11427 |
| Phone Number | 718-468-0800 |
| 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 | 4.04 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.06 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.47 | 0.86 |
| Nurse aide hours per resident per day | 2.51 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.62 | 3.42 |
| RN hours per resident per day on the weekend | 0.77 | 0.48 |
| Physical therapist hours per resident per day | 0.07 | 0.07 |
| Total nursing staff turnover | 19.4% | 45.8% |
| Registered nurse turnover | 20% | 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 | $306,240 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Oct 3, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Nov 27, 2024 |
| Oct 3, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Nov 27, 2024 |
| Oct 3, 2024 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Corrected by Nov 27, 2024 |
| Jun 30, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Immediate jeopardy, pattern | Corrected by Jul 5, 2024 |
| Jun 30, 2024 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Complaint inspection | Immediate jeopardy, pattern | Corrected by Jul 5, 2024 |
| Jun 30, 2024 | 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, Complaint inspection | Immediate jeopardy, pattern | Corrected by Jul 5, 2024 |
| Jun 30, 2024 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). F0603, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Immediate jeopardy, pattern | Corrected by Jul 5, 2024 |
| Jun 30, 2024 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Immediate jeopardy, pattern | Corrected by Jul 5, 2024 |
| Jun 30, 2024 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835, Administration, Complaint inspection | Potential for harm, widespread | Corrected by Jul 5, 2024 |
| Jun 30, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Jul 5, 2024 |
| Jun 30, 2024 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. F0841, Nursing and Physician Services, Complaint inspection | Potential for harm, pattern | Corrected by Jul 5, 2024 |
| Oct 24, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Dec 11, 2023 |
| Oct 24, 2023 | 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 Dec 11, 2023 |
| Oct 24, 2023 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Dec 11, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.38 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.07 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 3.64 | 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 | 0.42 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.46 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.24 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.32 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.63 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 8.38 | 15.38 |
Queen of Peace Residence Location: 110-30 221st Street, Queens Village, New York 11429 Phone: (718) 464-1800 |