Windsor Park Care Center Of Fremont - Fremont Nursing Home
General Information
UPDATEFederal Provider Number
55276
Provider Name
WINDSOR PARK CARE CENTER OF FREMONT
Provider Address
2400 PARKSIDE DRIVE
FREMONT, CA 94536
FREMONT, CA 94536
Provider Phone Number
(510) 793-7222
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINDSOR CONVALESCENT AND REHABILITATION CENTER OF FREMONT LLC
Date First Approved to Provide Medicare and Medicaid services
1969-02-01
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
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.01623
Reported LPN Staffing Hours per Resident per Day
0.57338
Reported RN Staffing Hours per Resident per Day
0.89870
Reported Licensed Staffing Hours per Resident per Day
1.47208
Reported Total Nurse Staffing Hours per Resident per Day
3.48831
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20584
Expected CNA Staffing Hours per Resident per Day
2.64933
Expected LPN Staffing Hours per Resident per Day
0.76859
Expected RN Staffing Hours per Resident per Day
1.16873
Expected Total Nurse Staffing Hours per Resident per Day
4.58664
Adjusted CNA Staffing Hours per Resident per Day
1.86735
Adjusted LPN Staffing Hours per Resident per Day
0.61920
Adjusted RN Staffing Hours per Resident per Day
0.57456
Adjusted Total Nurse Staffing Hours per Resident per Day
3.06565
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-23
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
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-08-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-05-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
47.33300
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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