Winslow Campus Of Care - Winslow Nursing Home

General Information

UPDATE
Federal Provider Number
35254
Provider Name
WINSLOW CAMPUS OF CARE
Provider Address
826 WEST DESMOND STREET
WINSLOW, AZ 86047
Provider Phone Number
9282894678
Provider SSA County
80
Provider County Name
Navajo
Ownership Type
For profit - Corporation
Number of Certified Beds
119
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINSLOW CONVALESCENT CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1999-06-09
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
1.99271
Reported LPN Staffing Hours per Resident per Day
0.96563
Reported RN Staffing Hours per Resident per Day
0.79167
Reported Licensed Staffing Hours per Resident per Day
1.75729
Reported Total Nurse Staffing Hours per Resident per Day
3.75001
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10573
Expected CNA Staffing Hours per Resident per Day
2.35437
Expected LPN Staffing Hours per Resident per Day
0.59023
Expected RN Staffing Hours per Resident per Day
0.82152
Expected Total Nurse Staffing Hours per Resident per Day
3.76612
Adjusted CNA Staffing Hours per Resident per Day
2.07678
Adjusted LPN Staffing Hours per Resident per Day
1.35789
Adjusted RN Staffing Hours per Resident per Day
0.72005
Adjusted Total Nurse Staffing Hours per Resident per Day
4.01366
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-29
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-07-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
63.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
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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