Windsor Manor - Glendale Nursing Home
General Information
UPDATEFederal Provider Number
555616
Provider Name
WINDSOR MANOR
Provider Address
1230 E. WINDSOR RD.
GLENDALE, CA 91205
GLENDALE, CA 91205
Provider Phone Number
(818) 244-7219
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
28
Number of Residents in Certified Beds
24
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTHERN CALIFORNIA PRESBYTERIAN HOMES
Date First Approved to Provide Medicare and Medicaid services
1994-11-21
Continuing Care Retirement Community
Y
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
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.81042
Reported LPN Staffing Hours per Resident per Day
0.90417
Reported RN Staffing Hours per Resident per Day
0.45208
Reported Licensed Staffing Hours per Resident per Day
1.35625
Reported Total Nurse Staffing Hours per Resident per Day
5.16667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05417
Expected CNA Staffing Hours per Resident per Day
2.53921
Expected LPN Staffing Hours per Resident per Day
0.62169
Expected RN Staffing Hours per Resident per Day
1.05127
Expected Total Nurse Staffing Hours per Resident per Day
4.21218
Adjusted CNA Staffing Hours per Resident per Day
3.68210
Adjusted LPN Staffing Hours per Resident per Day
1.20712
Adjusted RN Staffing Hours per Resident per Day
0.32132
Adjusted Total Nurse Staffing Hours per Resident per Day
4.94431
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-10-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-06-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
0
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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