Overall Rating
Address
6940 Pacific Avenue
Stockton, CA 95207
Contact
2094774817
Certification Date
1967-04-03
CMS Certification Number
055735
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Average Number of Residents per Day
111.3
Provider Type
Medicare and Medicaid
Legal Business Name
WINDSOR ELMHAVEN CARE CENTER, LLC
Affiliated Entity Name
WINDSOR
Affiliated Entity ID
566
Health Inspection Rating
1
Quality Measure Rating
3
Staffing Rating
3
Reported Nurse Aide Staffing Hours per Resident per Day
2.33390
Reported LPN Staffing Hours per Resident per Day
1.78260
Reported RN Staffing Hours per Resident per Day
0.43817
Reported Total Nurse Staffing Hours per Resident per Day
4.55467
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
4.04054
Registered Nurse Hours per Resident per Day on the Weekend
0.33759
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04237
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
3
Total Weighted Health Survey Score
160.667
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
33
Number of Citations from Infection Control Inspections
8
Standard Health Survey Date
2023-07-20
Total Number of Health Deficiencies
22
Number of Standard Health Deficiencies
17
Number of Complaint Health Deficiencies
5
Health Deficiency Score
152
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
152
Standard Health Survey Date
2019-06-20
Total Number of Health Deficiencies
36
Number of Standard Health Deficiencies
17
Number of Complaint Health Deficiencies
19
Health Deficiency Score
168
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
168
Standard Health Survey Date
2018-06-08
Total Number of Health Deficiencies
31
Number of Standard Health Deficiencies
10
Number of Complaint Health Deficiencies
13
Health Deficiency Score
172
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
172
Number of Fines
5
Total Amount of Fines in Dollars
6580.83
Number of Payment Denials
0
Total Number of Penalties
5