Windsor Gardens Convalescent Center Of Anaheim - Anaheim Nursing Home

General Information

UPDATE
Federal Provider Number
555688
Provider Name
WINDSOR GARDENS CONVALESCENT CENTER OF ANAHEIM
Provider Address
3415 W BALL ROAD
ANAHEIM, CA 92804
Provider Phone Number
(714) 826-8950
Provider SSA County
400
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
154
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1997-01-03
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
1
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
2.35593
Reported LPN Staffing Hours per Resident per Day
0.89025
Reported RN Staffing Hours per Resident per Day
0.55424
Reported Licensed Staffing Hours per Resident per Day
1.44449
Reported Total Nurse Staffing Hours per Resident per Day
3.80042
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08220
Expected CNA Staffing Hours per Resident per Day
2.63638
Expected LPN Staffing Hours per Resident per Day
0.68662
Expected RN Staffing Hours per Resident per Day
1.07995
Expected Total Nurse Staffing Hours per Resident per Day
4.40295
Adjusted CNA Staffing Hours per Resident per Day
2.19268
Adjusted LPN Staffing Hours per Resident per Day
1.07616
Adjusted RN Staffing Hours per Resident per Day
0.38347
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47929
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
21
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2015-02-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
25
Cycle 2 Number of Standard Health Deficiencies
23
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
144
Cycle 2 Standard Health Survey Date
2014-02-26
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
72
Cycle 2 Total Health Score
216
Cycle 3 Total Number of Health Deficiencies
29
Cycle 3 Number of Standard Health Deficiencies
22
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
160
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
80
Cycle 3 Total Health Score
240
Total Weighted Health Survey Score
174.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
1755
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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