Windsor El Camino Care Center - Carmichael Nursing Home
General Information
UPDATEFederal Provider Number
55402
Provider Name
WINDSOR EL CAMINO CARE CENTER
Provider Address
2540 CARMICHAEL WAY
CARMICHAEL, CA 95608
CARMICHAEL, CA 95608
Provider Phone Number
(916) 482-0465
Provider SSA County
440
Provider County Name
Sacramento
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
178
Number of Residents in Certified Beds
163
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINDSOR EL CAMINO CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.30092
Reported LPN Staffing Hours per Resident per Day
0.91074
Reported RN Staffing Hours per Resident per Day
0.69785
Reported Licensed Staffing Hours per Resident per Day
1.60859
Reported Total Nurse Staffing Hours per Resident per Day
3.90951
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08497
Expected CNA Staffing Hours per Resident per Day
2.60428
Expected LPN Staffing Hours per Resident per Day
0.66684
Expected RN Staffing Hours per Resident per Day
1.05324
Expected Total Nurse Staffing Hours per Resident per Day
4.32435
Adjusted CNA Staffing Hours per Resident per Day
2.16788
Adjusted LPN Staffing Hours per Resident per Day
1.13358
Adjusted RN Staffing Hours per Resident per Day
0.49508
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64421
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
86.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
15
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
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