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Windsor Point Continuing Care

For profit - Corporation  ·  1221 Broad Street, Fuquay Varina, NC 27526  ·  See home’s Medicare page

4.15
Nurse hours/resident/day
Reported total nurse staffing hours per resident per day.
State Average: 3.8
55.6%
Nurse turnover
The percentage of nursing staff who stopped working at the home over a 12-month period.
State Average: 52.9%
45
Certified beds
Qualifying beds in the certified provider or supplier facility.
26
Average residents/day
Average number of residents based on daily census.
Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.
Direct owners
Florence Jonhson (50%)
Robert Evans (12%)
Riley Evans (6%)
Rosemary Miller (6%)
William Miller (6%)
Debbie Sherrill (6%)
Toni Evans
Indirect owners
No indirect owner information
Managerial control
Amanda Green since Aug, 2017
Sharon Jones since Jun, 2005
Florence Jonhson since Jul, 1995
Jill Spivey since Jan, 2005
Managing employee(s)
Amanda Green since Aug, 2017
Sharon Jones since May, 2008
Florence Jonhson since Jul, 1995
Jill Spivey since Jan, 2005

Inspection Reports

10

total deficiencies

1

infection-related deficiency

This home violated federal standards protecting residents from the spread of infections.

Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.
Oct 26, 2023
Standard report
5 deficiencies
C

to F
F

Administration Deficiency — F0847
Failure to: Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
F

Administration Deficiency — F0848
Failure to: Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
F

Administration Deficiency — F0851
Failure to: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
F

Resident Assessment and Care Planning Deficiency — F0656
Failure to: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Resident Assessment and Care Planning Deficiency — F0655
Failure to: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Severity
No actual harm, with potential for minimal harm
Scope
Many people affected
Seriousness
C

Jul 15, 2022
Standard report
4 deficiencies
(1 infection)

This report includes a citation for violating federal standards protecting residents from the spread of infections.

$41,172 Fine
1 Payment Suspension
B

to F
F

Nutrition and Dietary Deficiency — F0812
Failure to: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
F

Infection Control Deficiency — F0888
Failure to: Ensure staff are vaccinated for COVID-19
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E

Nutrition and Dietary Deficiency — F0814
Failure to: Dispose of garbage and refuse properly.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Resident Assessment and Care Planning Deficiency — F0640
Failure to: Encode each resident's assessment data and transmit these data to the State within 7 days of assessment.
Severity
No actual harm, with potential for minimal harm
Scope
Some people affected
Seriousness
B

Mar 18, 2021
Standard report
1 deficiency
D

Resident Assessment and Care Planning Deficiency — F0636
Failure to: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D

Penalties

$41.2K

total fines

1

payment suspension

A nursing home receives a penalty, either a fine or payment suspensions, when it has a serious health citation or fails to fix a citation. Fines may be imposed once per citation or regularly until the nursing home corrects the citation. Fines not associated with inspection reports can include fines for not reporting COVID-19 data or not complying with infection-control requirements. Payment suspensions are when the government stops payments to the nursing home until an issue is fixed. The Centers for Medicare and Medicaid Services releases the last three years of penalty information.
Jul 15, 2022
$41,172 fine

Fine Breakdown:

$10,857 Fine

$30,315 Fine

1 Payment Suspension