Provider Name: WINDSORMEADE OF WILLIAMSBURG
Address: 3900 WINDSOR HALL DRIVE, WILLIAMSBURG, VA 23188
Phone: (757) 941-3600
County: James City (470)
Ownership Type: Non profit - Church related
Certified Beds: 22
Average Residents Per Day: 18.3 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: VIRGINIA UNITED METHODIST HOMES OF WILLIAMSBURG, INC.
First Approved Date: March 3, 2010
Affiliated Entity: ()
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.46535, LPN Staff Hours Per Day: 0.6469, RN Staff Hours Per Day: 1.6517, Licensed Staff Hours Per Day: 2.2986
Total Nurse Staff Hours Per Day, per resident: 5.76403
Weekend Nurse Staff Hours: 4.86470, Weekend RN Staff Hours: 0.9273
PT Staff Hours Per Day, per resident: 0.1468
Nurse Staff Turnover: , Nurse Turnover Note: 6
RN Turnover: , RN Turnover Note: 6
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.2685, Case Mix LPN Hours Per Day: 0.7192, Case Mix RN Hours Per Day: 0.4321
Adjusted Nurse Aide Hours Per Day, per resident: 3.11206, Adjusted LPN Hours Per Day: 0.6637, Adjusted RN Hours Per Day: 1.4402
Total Adjusted Nurse Hours Per Day, per resident: 5.31251
Adjusted Weekend Nurse Hours Per Day, per resident: 4.48363
Health Survey Dates and Scores: Cycle 1: 2023-04-06 (Score: 16), Cycle 2: 2022-05-19 (Score: 4), Cycle 3: 2020-12-04 (Score: 8)
Total Weighted Health Score: 10.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 657.80, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 3900 WINDSOR HALL DRIVE,WILLIAMSBURG,VA,23188 (37.3268, -76.761)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-05-12
Type: Health, Deficiency: Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-05-12
Type: Health, Deficiency: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-05-12
Type: Health, Deficiency: Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-07-01
Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-01-15
Type: Health, Deficiency: Provide activities to meet all resident's needs.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-01-15
Type: Health, Deficiency: Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-01-15
Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-01-15
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: