Windsor Gardens Of Hawthorne - Hawthorne Nursing Home
General Information
UPDATEFederal Provider Number
56267
Provider Name
WINDSOR GARDENS OF HAWTHORNE
Provider Address
13922 CERISE AVENUE
HAWTHORNE, CA 90250
HAWTHORNE, CA 90250
Provider Phone Number
3106753304
Provider SSA County
200
Provider County Name
Los Angeles
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SANDHURST CONVALESCENT GROUP LTD
Date First Approved to Provide Medicare and Medicaid services
1971-02-22
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
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.45380
Reported LPN Staffing Hours per Resident per Day
0.96902
Reported RN Staffing Hours per Resident per Day
0.63370
Reported Licensed Staffing Hours per Resident per Day
1.60272
Reported Total Nurse Staffing Hours per Resident per Day
4.05652
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11739
Expected CNA Staffing Hours per Resident per Day
2.59273
Expected LPN Staffing Hours per Resident per Day
0.74539
Expected RN Staffing Hours per Resident per Day
1.27836
Expected Total Nurse Staffing Hours per Resident per Day
4.61648
Adjusted CNA Staffing Hours per Resident per Day
2.32222
Adjusted LPN Staffing Hours per Resident per Day
1.07901
Adjusted RN Staffing Hours per Resident per Day
0.37040
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54197
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-04-01
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
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-12-08
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-08-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
59.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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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