Windsor Elk Grove Care And Rehabilitation Center - Elk Grove Nursing Home
General Information
UPDATEFederal Provider Number
55308
Provider Name
WINDSOR ELK GROVE CARE AND REHABILITATION CENTER
Provider Address
9461 BATEY AVENUE
ELK GROVE, CA 95624
ELK GROVE, CA 95624
Provider Phone Number
(916) 685-9525
Provider SSA County
440
Provider County Name
Sacramento
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
136
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINDSOR ELK GROVE CARE AND REHABILITATION 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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.98488
Reported LPN Staffing Hours per Resident per Day
0.80543
Reported RN Staffing Hours per Resident per Day
0.79225
Reported Licensed Staffing Hours per Resident per Day
1.59767
Reported Total Nurse Staffing Hours per Resident per Day
3.58256
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15388
Expected CNA Staffing Hours per Resident per Day
2.42720
Expected LPN Staffing Hours per Resident per Day
0.62648
Expected RN Staffing Hours per Resident per Day
1.13097
Expected Total Nurse Staffing Hours per Resident per Day
4.18465
Adjusted CNA Staffing Hours per Resident per Day
2.00655
Adjusted LPN Staffing Hours per Resident per Day
1.06708
Adjusted RN Staffing Hours per Resident per Day
0.52342
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45093
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
62.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
10
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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