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Windemere Nursing & Rehabilitation Center

One Hospital Road, Oak Bluffs, MA 02557
5086966465
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Overall CMS Rating

5.0/5

vs State Average: 3.0 stars

4.0/5

Health Inspections

vs State Average: 2.9/5

4.0/5

Staffing Level

vs State Average: 2.9/5

5.0/5

Quality Measures

vs State Average: 3.3/5

0 penalties in last 3 years
Penalties
vs State Average: 0.9 penalties

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Ratings Deep Dive

Score
4.0
State Average
2.9
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Mar 20, 2025 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. E
Mar 20, 2025 Ensure services provided by the nursing facility meet professional standards of quality. D
Mar 20, 2025 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. D
Mar 20, 2025 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
Mar 7, 2024 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. E
Score
4.0
State Average
2.9
National Average
2.9
1.7 RN Hours / Resident / Day
4.9 Total Nurse Hours / Resident / Day
50.0% RN Turnover Rate
Score
5.0
State Average
3.3
National Average
3.6
5.0 Long-Stay QM Rating
Short-Stay QM Rating
32.7 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
OPERATIONAL/MANAGERIAL CONTROL ALLIANCE HEALTH MANAGEMENT SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL CARRENO, NURY
OPERATIONAL/MANAGERIAL CONTROL LOZOYA, KATHERINE
OPERATIONAL/MANAGERIAL CONTROL MCDONOUGH, DAVID
OPERATIONAL/MANAGERIAL CONTROL YUNG, ALARICK
CORPORATE DIRECTOR ALBERICH, HENRY
CORPORATE DIRECTOR ANDERSON, DIANNE
CORPORATE DIRECTOR AUBREY, STEVER
CORPORATE DIRECTOR BROWN, MARY
CORPORATE DIRECTOR HUBBARD, CYNTHIA
Recent Penalties

No penalty records found.

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