Windsor Gardens Conv Center Of San Diego - National City Nursing Home
General Information
UPDATEFederal Provider Number
55954
Provider Name
WINDSOR GARDENS CONV CENTER OF SAN DIEGO
Provider Address
220 EAST 24TH STREET
NATIONAL CITY, CA 91950
NATIONAL CITY, CA 91950
Provider Phone Number
(619) 474-6741
Provider SSA County
470
Provider County Name
San Diego
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINDSOR CARE CENTER OF NATIONAL CITY, INC
Date First Approved to Provide Medicare and Medicaid services
1968-08-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.42849
Reported LPN Staffing Hours per Resident per Day
0.62043
Reported RN Staffing Hours per Resident per Day
0.75054
Reported Licensed Staffing Hours per Resident per Day
1.37097
Reported Total Nurse Staffing Hours per Resident per Day
3.79946
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21129
Expected CNA Staffing Hours per Resident per Day
2.60540
Expected LPN Staffing Hours per Resident per Day
0.69737
Expected RN Staffing Hours per Resident per Day
1.11540
Expected Total Nurse Staffing Hours per Resident per Day
4.41816
Adjusted CNA Staffing Hours per Resident per Day
2.28709
Adjusted LPN Staffing Hours per Resident per Day
0.73843
Adjusted RN Staffing Hours per Resident per Day
0.50278
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46643
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-04-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-05-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-05-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
58.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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