Windsor Gardens Care Center Of Fullerton - Fullerton Nursing Home
General Information
UPDATEFederal Provider Number
55689
Provider Name
WINDSOR GARDENS CARE CENTER OF FULLERTON
Provider Address
245 E WILSHIRE AVENUE
FULLERTON, CA 92832
FULLERTON, CA 92832
Provider Phone Number
7148716020
Provider SSA County
400
Provider County Name
Orange
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINDSOR GARDENS HEALTHCARE CENTER OF FULLERTON LLC
Date First Approved to Provide Medicare and Medicaid services
1969-09-03
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
4
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
2.71337
Reported LPN Staffing Hours per Resident per Day
1.17442
Reported RN Staffing Hours per Resident per Day
0.78256
Reported Licensed Staffing Hours per Resident per Day
1.95698
Reported Total Nurse Staffing Hours per Resident per Day
4.67035
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20116
Expected CNA Staffing Hours per Resident per Day
2.67389
Expected LPN Staffing Hours per Resident per Day
0.76542
Expected RN Staffing Hours per Resident per Day
1.29641
Expected Total Nurse Staffing Hours per Resident per Day
4.73572
Adjusted CNA Staffing Hours per Resident per Day
2.48993
Adjusted LPN Staffing Hours per Resident per Day
1.27351
Adjusted RN Staffing Hours per Resident per Day
0.45104
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97526
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-04-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-03-14
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-06-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
81.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
5
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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