Windsor Lane Healthcare Center - Gibsonburg Nursing Home
General Information
UPDATEFederal Provider Number
365681
Provider Name
WINDSOR LANE HEALTHCARE CENTER
Provider Address
355 WINDSOR LANE
GIBSONBURG, OH 43431
GIBSONBURG, OH 43431
Provider Phone Number
(419) 637-2104
Provider SSA County
730
Provider County Name
Sandusky
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
93
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GIBSONBURG HEALTH LLC
Date First Approved to Provide Medicare and Medicaid services
1986-06-13
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.84800
Reported LPN Staffing Hours per Resident per Day
0.85733
Reported RN Staffing Hours per Resident per Day
0.39800
Reported Licensed Staffing Hours per Resident per Day
1.25533
Reported Total Nurse Staffing Hours per Resident per Day
5.10333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04400
Expected CNA Staffing Hours per Resident per Day
2.40348
Expected LPN Staffing Hours per Resident per Day
0.74910
Expected RN Staffing Hours per Resident per Day
1.31226
Expected Total Nurse Staffing Hours per Resident per Day
4.46484
Adjusted CNA Staffing Hours per Resident per Day
3.92840
Adjusted LPN Staffing Hours per Resident per Day
0.94992
Adjusted RN Staffing Hours per Resident per Day
0.22662
Adjusted Total Nurse Staffing Hours per Resident per Day
4.60733
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-06-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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