Windmill Village Rehabilitation And Health Care Ce - Lubbock Nursing Home
General Information
UPDATEFederal Provider Number
676318
Provider Name
WINDMILL VILLAGE REHABILITATION AND HEALTH CARE CE
Provider Address
507 MARTIN LUTHER KING BLVD
LUBBOCK, TX 79403
LUBBOCK, TX 79403
Provider Phone Number
8067441113
Provider SSA County
770
Provider County Name
Lubbock
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2012-09-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Family
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.72941
Reported LPN Staffing Hours per Resident per Day
1.13431
Reported RN Staffing Hours per Resident per Day
0.57108
Reported Licensed Staffing Hours per Resident per Day
1.70539
Reported Total Nurse Staffing Hours per Resident per Day
4.43480
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05588
Expected CNA Staffing Hours per Resident per Day
2.42625
Expected LPN Staffing Hours per Resident per Day
0.75646
Expected RN Staffing Hours per Resident per Day
1.35824
Expected Total Nurse Staffing Hours per Resident per Day
4.54096
Adjusted CNA Staffing Hours per Resident per Day
2.76029
Adjusted LPN Staffing Hours per Resident per Day
1.24458
Adjusted RN Staffing Hours per Resident per Day
0.31416
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93666
Cycle 1 Total Number of Health Deficiencies
28
Cycle 1 Number of Standard Health Deficiencies
26
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
224
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
224
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
152
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
162.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
1700
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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