Windsor Care Center Of Sacramento - Sacramento Nursing Home
General Information
UPDATEFederal Provider Number
555717
Provider Name
WINDSOR CARE CENTER OF SACRAMENTO
Provider Address
501 JESSIE AVENUE
SACRAMENTO, CA 95838
SACRAMENTO, CA 95838
Provider Phone Number
(916) 922-8855
Provider SSA County
440
Provider County Name
Sacramento
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINDSOR SACRAMENTO ESTATES, LLC
Date First Approved to Provide Medicare and Medicaid services
1997-12-30
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
2
Health Inspection Rating Footnote
QM Rating
1
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
2.74957
Reported LPN Staffing Hours per Resident per Day
0.77650
Reported RN Staffing Hours per Resident per Day
0.62479
Reported Licensed Staffing Hours per Resident per Day
1.40128
Reported Total Nurse Staffing Hours per Resident per Day
4.15086
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05598
Expected CNA Staffing Hours per Resident per Day
2.49732
Expected LPN Staffing Hours per Resident per Day
0.53369
Expected RN Staffing Hours per Resident per Day
0.79181
Expected Total Nurse Staffing Hours per Resident per Day
3.82282
Adjusted CNA Staffing Hours per Resident per Day
2.70154
Adjusted LPN Staffing Hours per Resident per Day
1.20763
Adjusted RN Staffing Hours per Resident per Day
0.58959
Adjusted Total Nurse Staffing Hours per Resident per Day
4.37680
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-04-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
71.33300
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
12
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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