A90

ENCORE AT WINDSOR HILLS

Grade A 90/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
5/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

46

Ownership

For profit - Corporation

Total Fines

$19,837

Last Survey

N/A

1212 FOULK ROAD, WILMINGTON, DE 19803
3024784296

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.24h
LPN
0.61h
CNA
2.57h
Total
4.42h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

SNH PROJ LINCOLN TRS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2022

100%

BLACKROCK INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2022

DIVERSIFIED HEALTHCARE TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2022

SNH TRS LICENSEE HOLDCO LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2022

SNH TRS, INC.

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2022

STATE STREET CORPORATION

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2022

VANGUARD GROUP INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2022

LIFE CARE SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2022

JOHNSON, LESLIE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jul 2022

ANDERSON, JACQUELYN

IndividualCORPORATE OFFICERSince Jan 2024

BILOTTO, CHRISTOPHER

IndividualCORPORATE OFFICERSince Jan 2024

BROWN, MATTHEW

IndividualCORPORATE OFFICERSince Jan 2024

CLARK, JENNIFER

IndividualCORPORATE OFFICERSince Jan 2022

BELLES, JANET

IndividualCONTRACTED MANAGING EMPLOYEESince Jan 2022

Penalties & Fines (2)

$19,837total fines
DateTypeDescriptionAmount
Feb 26, 2024Fine$13,544
May 30, 2023Fine$6,293

Health Inspection Deficiencies (19)

February 26, 2024Health8 deficiencies1 severe
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Apr 1, 2024
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jul 5, 2023
0712DMinimal harm, Isolated

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Nursing and Physician Services Deficiencies

Corrected Apr 1, 2024
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Apr 1, 2024
0623DMinimal harm, Isolated

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Apr 1, 2024
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 1, 2024
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Apr 1, 2024
0804DMinimal harm, Isolated

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Apr 1, 2024
May 27, 2022Health11 deficiencies
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jul 5, 2022
0697DMinimal harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Jul 5, 2022
0814EMinimal harm, Pattern

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies

Corrected Jul 5, 2022
0888DMinimal harm, Isolated

Ensure staff are vaccinated for COVID-19

Infection Control Deficiencies

Corrected Jul 5, 2022
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jul 5, 2022
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 5, 2022
0657DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jul 5, 2022
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jul 5, 2022
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Jul 5, 2022
0812DMinimal harm, Isolated

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

Nutrition and Dietary Deficiencies

Corrected Jul 5, 2022
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jul 5, 2022

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Frequently Asked Questions

What is the CareGrader rating for ENCORE AT WINDSOR HILLS?

ENCORE AT WINDSOR HILLS in WILMINGTON, Delaware has a CareGrader grade of A (Excellent), with a composite score of 90 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for ENCORE AT WINDSOR HILLS?

ENCORE AT WINDSOR HILLS has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does ENCORE AT WINDSOR HILLS have?

ENCORE AT WINDSOR HILLS has 19 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has ENCORE AT WINDSOR HILLS been fined?

Yes. ENCORE AT WINDSOR HILLS has $19,837 in total fines from CMS enforcement actions across 2 penalties.

How many beds does ENCORE AT WINDSOR HILLS have?

ENCORE AT WINDSOR HILLS has 46 certified beds with approximately 43 current residents (93% occupancy). The facility is located at 1212 FOULK ROAD, WILMINGTON, Delaware 19803. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.