Cycle 1
Health 2023-04-06 · Fire 2023-04-06
3 health deficiencies
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Williamsburg, VA
Windsormeade Of Williamsburg
5-star overall rating with 5-star inspections with 3 recent health deficiencies
3900 Windsor Hall Drive, Williamsburg, VA
(757) 941-3600
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
22
Certified beds
Average residents
19
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2010-03-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
Hours and turnover
RN hours / resident day
2.15
Registered nurse staffing
LPN hours / resident day
0.31
Licensed practical nurse staffing
Aide hours / resident day
3.27
Nurse aide staffing
Weekend hours
4.69
Weekend nurse staffing
RN turnover
13%
Annual RN turnover
Total nurse turnover
28%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 22.2% |
3.6%
18.6 pts worse
|
3.3%
18.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
15.7%
15.7 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.0% |
20.2%
15.2 pts better
|
19.6%
14.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.5%
0.5 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 3.8% |
1.6%
2.2 pts worse
|
1.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.6% |
22.2%
7.4 pts worse
|
19.8%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
5.2%
2.1 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.8% |
74.6%
14.2 pts better
|
81.7%
7.1 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.1% |
11.7%
0.6 pts better
|
12.0%
0.9 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.2%
0.6 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.8% |
73.6%
23.2 pts better
|
79.7%
17.1 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.7% |
22.0%
2.3 pts better
|
23.9%
4.2 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-05-19 · Fire 2022-05-19
2 health deficiencies
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2020-12-04 · Fire 2020-12-04
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
E · Potential for more than minimal harm
2023-04-06
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-12
D · Potential for more than minimal harm
2023-04-06
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-05-12
D · Potential for more than minimal harm
2023-04-06
F887 · Infection Control Deficiencies
Health
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.
Corrected 2023-05-12
E · Potential for more than minimal harm
2022-05-19
F886 · Infection Control Deficiencies
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-07-01
D · Potential for more than minimal harm
2022-05-19
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-07-01
E · Potential for more than minimal harm
2020-12-04
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2021-01-15
C · Minimal harm
2020-12-04
F773 · Administration Deficiencies
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2021-01-15
B · Minimal harm
2020-12-04
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2021-01-15
B · Minimal harm
2020-12-04
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-01-15
Penalties and ownership
What sits behind the stars
Ownership
Virginia United Methodist Homes Of Williamsburg, Inc.
5% Or Greater Direct Ownership Interest · Organization
Virginia United Methodist Homes, Inc.
5% Or Greater Indirect Ownership Interest · Organization
Alsup, Philip
Corporate Director · Individual
Bruny, Kevin
Corporate Director · Individual
Bryant, Harvey
Corporate Director · Individual
Cauffman, Shirley
Corporate Director · Individual
Coleman, Henry
Corporate Director · Individual
Green, James
Operational/Managerial Control · Individual
Han, Lisa
Corporate Director · Individual
Henderson, Christopher
Corporate Director · Individual
Henderson, Christopher
Corporate Officer · Individual
Hetherington, Jason
Corporate Director · Individual
Hornbeck, Jane
Corporate Director · Individual
Jones, Steven
Corporate Director · Individual
Lakkis, Rouba
Operational/Managerial Control · Individual
Netting, Florence
Corporate Director · Individual
Nimon, Daniel
Operational/Managerial Control · Individual
Nimon, Daniel
Corporate Officer · Individual
Nowell, Kesha
Operational/Managerial Control · Individual
Parikh, Pranav
Operational/Managerial Control · Individual
Salminen, Kevin
Operational/Managerial Control · Individual
Salminen, Kevin
Corporate Officer · Individual
Staskiel, Andrea
Operational/Managerial Control · Individual
Williams, Lisa
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Williamsburg Post Acute & Rehabilitation
Williamsburg, VA
3-star overall rating with 4-star inspections with 5 recent health deficiencies
#2
Riverside Lifelong Health & Rehabilitation Patri
Williamsburg, VA
4-star overall rating with 4-star inspections with 2 recent health deficiencies
#3
Woodhaven Hall At Williamsburg Landing
Williamsburg, VA
3-star overall rating with 3-star inspections with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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