Windsor Care Center Of Petaluma - Petaluma Nursing Home
General Information
UPDATEFederal Provider Number
555703
Provider Name
WINDSOR CARE CENTER OF PETALUMA
Provider Address
523 HAYES LANE
PETALUMA, CA 94952
PETALUMA, CA 94952
Provider Phone Number
7077632457
Provider SSA County
590
Provider County Name
Sonoma
Ownership Type
For profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINDSOR CARE CENTER OF PETALUMA LLC
Date First Approved to Provide Medicare and Medicaid services
1997-04-18
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.94851
Reported LPN Staffing Hours per Resident per Day
0.80746
Reported RN Staffing Hours per Resident per Day
0.62313
Reported Licensed Staffing Hours per Resident per Day
1.43060
Reported Total Nurse Staffing Hours per Resident per Day
4.37910
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17090
Expected CNA Staffing Hours per Resident per Day
2.32557
Expected LPN Staffing Hours per Resident per Day
0.56431
Expected RN Staffing Hours per Resident per Day
0.85800
Expected Total Nurse Staffing Hours per Resident per Day
3.74787
Adjusted CNA Staffing Hours per Resident per Day
3.11097
Adjusted LPN Staffing Hours per Resident per Day
1.18763
Adjusted RN Staffing Hours per Resident per Day
0.54266
Adjusted Total Nurse Staffing Hours per Resident per Day
4.70980
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
139
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
70
Cycle 2 Total Health Score
70
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-11-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
102.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Oaks, The
450 Hayes Lane |
PETALUMA CA 94952 | 0.1 mile away
Petaluma Post-acute Rehabilitation
1115 B Street |
PETALUMA CA 94952 | 0.1 mile away
Empres Post Acute Rehabilitation
300 Douglas Street |
PETALUMA CA 94952 | 0.5 mile away
Golden Livingcenter - Petaluma
101 Monroe Street |
PETALUMA CA 94954 | 2.6 miles away
Sonoma Valley Hospital Dp/snf
347 Andrieux St |
SONOMA CA 95476 | 10.9 miles away
Broadway Villa Post Acute
1250 Broadway |
SONOMA CA 95476 | 11 miles away
Golden Livingcenter - London House Sonoma
678 2nd Street West |
SONOMA CA 95476 | 11.1 miles away
Santa Rosa Convalescent Hosp
446 Arrowood Dr |
SANTA ROSA CA 95407 | 14.3 miles away
Fircrest Convalescent Hospital
7025 Corline Court |
SEBASTOPOL CA 95472 | 14.7 miles away
Apple Valley Post-acute Rehab
1035 Gravenstein Hwy South |
SEBASTOPOL CA 95472 | 14.8 miles away
Golden Livingcenter Santa Rosa
4650 Hoen Avenue |
SANTA ROSA CA 95405 | 15.2 miles away
Creekside Rehabilitation & Behavioral Health
850 Sonoma Ave |
SANTA ROSA CA 95404 | 15.4 miles away
Summerfield Health Care Center
1280 Summerfield Rd |
SANTA ROSA CA 95405 | 15.5 miles away
Park View Post Acute
3751 Montgomery Dr |
SANTA ROSA CA 95405 | 16.1 miles away
Spring Lake Village
5555 Montgomery Drive |
SANTA ROSA CA 95409 | 16.4 miles away
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