Windsormeade Of Williamsburg - Williamsburg Nursing Home

General Information

UPDATE
Federal Provider Number
495402
Provider Name
WINDSORMEADE OF WILLIAMSBURG
Provider Address
3900 WINDSOR HALL DRIVE
WILLIAMSBURG, VA 23188
Provider Phone Number
(757) 941-3600
Provider SSA County
470
Provider County Name
James City
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
12
Number of Residents in Certified Beds
12
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
VIRGINIA UNITED METHODIST HOMES OF WILLIAMSBURG, INC.
Date First Approved to Provide Medicare and Medicaid services
2010-03-03
Continuing Care Retirement Community
Y
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
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.63333
Reported LPN Staffing Hours per Resident per Day
0.76250
Reported RN Staffing Hours per Resident per Day
1.70417
Reported Licensed Staffing Hours per Resident per Day
2.46667
Reported Total Nurse Staffing Hours per Resident per Day
6.10000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.47500
Expected CNA Staffing Hours per Resident per Day
2.30413
Expected LPN Staffing Hours per Resident per Day
0.57298
Expected RN Staffing Hours per Resident per Day
0.87499
Expected Total Nurse Staffing Hours per Resident per Day
3.75210
Adjusted CNA Staffing Hours per Resident per Day
3.86919
Adjusted LPN Staffing Hours per Resident per Day
1.10454
Adjusted RN Staffing Hours per Resident per Day
1.45528
Adjusted Total Nurse Staffing Hours per Resident per Day
6.55327
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-12-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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