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Windsormeade Of Williamsburg Inspection Report, Violations & Safety Grade (WILLIAMSBURG, Virginia)

3900 WINDSOR HALL DRIVE, WILLIAMSBURG, Virginia 23188

Phone: 7579413600

CMS Overall:5/5

Overview & Bed Count

Certified Beds
22
Avg Residents/Day
21.5
Ownership
Non profit - Church related
Provider Type
Medicare and Medicaid
County
James City
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing5/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityVirginia AvgDifference
RN Hours per Resident per Day1.990.71+1.28
Total Nurse Hours per Resident per Day5.263.88+1.38
CMS Staffing Rating5/52.5/5-
Nursing Staff Turnover35.5%47.5%-

Health Citation History

12 health citations on record

DateCategoryDescriptionSeverity
2026-04-17Pharmacy Service DeficienciesEnsure 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 – Moderate Harm Potential
2026-04-17Resident Rights DeficienciesHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D – Moderate Harm Potential
2026-04-17Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2026-04-17Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2026-04-17Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2026-04-17Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D – Moderate Harm Potential
2026-04-17Environmental DeficienciesKeep all essential equipment working safely.D – Moderate Harm Potential
2023-04-06Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2023-04-06Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential
2023-04-06Infection Control DeficienciesEducate 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.D – Moderate Harm Potential
2022-05-19Infection Control DeficienciesPerform COVID19 testing on residents and staff.E – Moderate Harm Potential
2022-05-19Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential

Fire Safety Citation History

2 fire safety citations on record

DateCategoryDescriptionSeverity
2026-04-17Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2026-04-17Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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