Windsor Place - Daingerfield Nursing Home
General Information
UPDATEFederal Provider Number
675755
Provider Name
WINDSOR PLACE
Provider Address
507 E W M WATSON BLVD
DAINGERFIELD, TX 75638
DAINGERFIELD, TX 75638
Provider Phone Number
9036453915
Provider SSA County
803
Provider County Name
Morris
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
J. JIREH, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-07-07
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
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
2.45224
Reported LPN Staffing Hours per Resident per Day
0.75373
Reported RN Staffing Hours per Resident per Day
0.31045
Reported Licensed Staffing Hours per Resident per Day
1.06418
Reported Total Nurse Staffing Hours per Resident per Day
3.51642
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03209
Expected CNA Staffing Hours per Resident per Day
2.48418
Expected LPN Staffing Hours per Resident per Day
0.64544
Expected RN Staffing Hours per Resident per Day
0.86637
Expected Total Nurse Staffing Hours per Resident per Day
3.99599
Adjusted CNA Staffing Hours per Resident per Day
2.42215
Adjusted LPN Staffing Hours per Resident per Day
0.96925
Adjusted RN Staffing Hours per Resident per Day
0.26775
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54714
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
156
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
156
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
160
Cycle 2 Standard Health Survey Date
2013-06-05
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
15
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
172
Cycle 3 Standard Health Survey Date
2012-06-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
172
Total Weighted Health Survey Score
160.00000
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
2
Number of Fines
3
Total Amount of Fines in Dollars
4979
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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