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Windsor Elk Grove Care And Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 136
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 09/01/2011

Date of last standard health inspection: 09/01/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in CA: 2
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in CA: 0 - 16

Inspection, 01/08/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep all essential equipment working safely. 01/08/2010 01/04/2011 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 01/08/2010 01/04/2011 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 01/08/2010 01/04/2011 2 Some
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 01/08/2010 01/04/2011 2 Some
Provide special eating equipment and utensils for each resident who needs them. 01/08/2010 01/04/2011 2 Few
Store, cook, and serve food in a safe and clean way. 01/08/2010 01/04/2011 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/08/2010 01/04/2011 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/08/2010 01/04/2011 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/08/2010 01/04/2011 2 Few

Inspection, 00/08/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a detailed 00/08/2010 02/09/2010 such as fire written plan for disasters and emergencies
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store 00/08/2010 02/09/2010 and serve food in a safe and clean way. cook

Inspection, 00/01/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 00/01/2009 01/00/2010 1 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/01/2009 01/00/2010 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 00/01/2009 01/00/2010 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 00/01/2009 01/00/2010 2 Some
Store, cook, and serve food in a safe and clean way. 00/01/2009 01/00/2010 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/01/2009 01/00/2010 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/01/2009 01/00/2010 2 Some

Inspection, 01/09/2007

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention 01/09/2007 00/09/2008 investigation identification

Inspection, 02/04/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get x-rays and other tests in a timely manner to meet the needs of residents. 02/04/2006 02/09/2007 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/04/2006 02/09/2007 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 02/04/2006 02/09/2007 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/04/2006 02/09/2007 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/04/2006 02/09/2007 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 02/04/2006 02/09/2007 2 Some
Ensure that residents are safe from serious medication errors. 02/04/2006 02/09/2007 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/04/2006 02/09/2007 1 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 02/04/2006 02/09/2007 2 Some
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 02/04/2006 02/09/2007 2 Some
Develop policies and procedures for influenza and pneumococcal immunizations. 02/04/2006 02/09/2007 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 02/04/2006 02/09/2007 2 Few

Inspection, 00/03/2001

Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store 00/03/2001 02/02/2001 and serve food in a safe and clean way. cook

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in CA Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 86 81 120
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 27 hours 36 minutes 1 hour 59 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 26 hours 44 minutes 1 hour 3 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 27 hours 42 minutes 55 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 28 hours 39 minutes 2 hours 18 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 09/07/2011

Automatic Sprinkler Systems in all required areas Partial
Date of last standard fire safety inspection: 09/07/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in CA: 2
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in CA: 0 - 5

Inspection, 02/03/2010

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/03/2010 00/09/2011 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/03/2010 00/09/2011 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/03/2010 00/09/2011 2 Few
Properly installed electrical wiring and equipment. 02/03/2010 00/09/2011 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/03/2010 00/09/2011 2 Few
Properly installed hallway dispensers for alcohol-based hand rub. 02/03/2010 00/09/2011 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly located and lighted Exit" signs." 02/03/2010 00/09/2011 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 02/03/2010 00/09/2011 2 Few

Inspection, 00/07/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A complete sprinkler system with alarm system connection. 00/07/2009 02/08/2009 2 Few
Automatic sprinkler systems that have been maintained in working order. 00/07/2009 02/08/2009 2 Few
Portable fire extinguishers. 00/07/2009 02/08/2009 2 Few
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 00/07/2009 02/08/2009 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/07/2009 02/08/2009 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 00/07/2009 02/08/2009 2 Few
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 00/07/2009 02/08/2009 2 Few

Inspection, 00/08/2007

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/08/2007 02/02/2007 2 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 00/08/2007 02/02/2007 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/08/2007 02/02/2007 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/08/2007 02/02/2007 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/08/2007 02/02/2007 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 00/08/2007 02/02/2007 2 Some
 

9461 Batey Avenue
Elk Grove, CA 95624

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