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WINDSORMEADE OF WILLIAMSBURG

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WINDSORMEADE OF WILLIAMSBURG is a non profit - church related facility in WILLIAMSBURG, VA with 22 certified beds and a 5-star overall CMS rating. The facility has 9 deficiency records on file.

3900 WINDSOR HALL DRIVE, WILLIAMSBURG, VA 23188

Phone: 7579413600

Overall Rating

5/5

Health Inspection

5/5

Staffing

5/5

Quality Measures

5/5

Long-Stay Quality

N/A

Facility Information

Provider Number
495402
Ownership
Non profit - Church related
Provider Type
Medicare and Medicaid
Beds
22
Residents
19
In Hospital
No
County
James City
Last Inspection
Apr 6, 2023

Staffing Data

RN Hours
2.15 (nat'l avg: 0.68)
LPN Hours
0.31
CNA Hours
3.27
Total Nursing Hours
5.72 (nat'l avg: 3.89)
PT Hours
0.11
Nursing Turnover
27.6%
RN Turnover
12.5%

What the CMS Record Reveals About WINDSORMEADE OF WILLIAMSBURG

WINDSORMEADE OF WILLIAMSBURG operates 22 certified beds in WILLIAMSBURG, VA with approximately 19 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (5★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 9 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 5.72 total nursing hours per resident day (national average 3.89), with RN coverage at 2.15 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Church related" ownership and operating as a "Medicare and Medicaid" provider, WINDSORMEADE OF WILLIAMSBURG falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 27.6%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (9 most recent)

D — Isolated - Minimal harm Apr 6, 2023 Tag: 0887

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.

Category: Infection Control Deficiencies

Corrected: May 12, 2023

D — Isolated - Minimal harm Apr 6, 2023 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: May 12, 2023

E — Pattern - Minimal harm Apr 6, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 12, 2023

E — Pattern - Minimal harm May 19, 2022 Tag: 0886

Perform COVID19 testing on residents and staff.

Category: Infection Control Deficiencies

Corrected: Jul 1, 2022

D — Isolated - Minimal harm May 19, 2022 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Jul 1, 2022

B — Pattern - No harm Dec 4, 2020 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 15, 2021

C — Widespread - No harm Dec 4, 2020 Tag: 0773

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Category: Administration Deficiencies

Corrected: Jan 15, 2021

E — Pattern - Minimal harm Dec 4, 2020 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 15, 2021

B — Pattern - No harm Dec 4, 2020 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 15, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay N/A No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.8% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 22.2% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 88.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 5.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay N/A No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 96.8% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.1% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 29.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay N/A Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for WINDSORMEADE OF WILLIAMSBURG?
WINDSORMEADE OF WILLIAMSBURG has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (5★), and quality measures (5★).
What are the staffing levels at WINDSORMEADE OF WILLIAMSBURG?
WINDSORMEADE OF WILLIAMSBURG reports 5.72 total nursing hours per resident day (national average: 3.89). RN hours are 2.15 per resident day (national average: 0.68). Nursing staff turnover is 27.6%.
How many beds does WINDSORMEADE OF WILLIAMSBURG have?
WINDSORMEADE OF WILLIAMSBURG has 22 certified beds with approximately 19 residents. The facility is located at 3900 WINDSOR HALL DRIVE, WILLIAMSBURG, VA 23188.
Does WINDSORMEADE OF WILLIAMSBURG have any deficiencies on record?
Yes, WINDSORMEADE OF WILLIAMSBURG has 9 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has WINDSORMEADE OF WILLIAMSBURG received any fines or penalties?
No, WINDSORMEADE OF WILLIAMSBURG has no fines or penalties on record.
Who owns WINDSORMEADE OF WILLIAMSBURG?
WINDSORMEADE OF WILLIAMSBURG is classified as "Non profit - Church related" ownership. The facility type is "Medicare and Medicaid".
When was WINDSORMEADE OF WILLIAMSBURG last inspected?
The most recent health inspection for WINDSORMEADE OF WILLIAMSBURG was on Apr 6, 2023. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for WINDSORMEADE OF WILLIAMSBURG?
WINDSORMEADE OF WILLIAMSBURG is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial