Windsor Monterey Care Center
1575 Skyline Drive, Monterey, CA 93940


Windsor Monterey Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 055962. The address is 1575 Skyline Drive, Monterey, CA 93940. The zip code is 93940. The phone number is 8313732731.


Windsor Monterey Care Center · 1575 Skyline Drive, Monterey, CA 93940

Federal Provider Number 055962
Provider Name WINDSOR MONTEREY CARE CENTER
Address 1575 SKYLINE DRIVE
MONTEREY, CA 93940
Phone Number 8313732731
SSA County Code 370
County Name Monterey
Ownership Type For profit - Partnership
Certified Beds 78
Certified Beds Residents 70
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name WINDSOR MONTEREY CARE CENTER, LLC
Date First Approved to Provide Medicare Medicaid Services 06/01/1969
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 2
Quality Measure Rating 4
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.17571
Reported LPN Staffing Hours per Resident per Day 0.975
Reported RN Staffing Hours per Resident per Day 0.38143
Reported Licensed Staffing Hours per Resident per Day 1.35643
Reported Total Nurse Staffing Hours per Resident per Day 3.53214
Reported Physical Therapist Staffing Hours per Resident Per Day 0.07786
Expected CNA Staffing Hours per Resident per Day 2.47636
Expected LPN Staffing Hours per Resident per Day 0.65735
Expected RN Staffing Hours per Resident per Day 1.13947
Expected Total Nurse Staffing Hours per Resident per Day 4.27318
Adjusted CNA Staffing Hours per Resident per Day 2.1558
Adjusted LPN Staffing Hours per Resident per Day 1.23108
Adjusted RN Staffing Hours per Resident per Day 0.25012
Adjusted Total Nurse Staffing Hours per Resident per Day 3.33187
Cycle 1 Total Number of Health Deficiencies 20
Cycle 1 Number of Standard Health Deficiencies 10
Cycle 1 Number of Complaint Health Deficiencies 10
Cycle 1 Health Deficiency Score 84
Cycle 1 Standard Survey Health Date 03/10/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 84
Cycle 2 Total Number of Health Deficiencies 18
Cycle 2 Number of Standard Health Deficiencies 13
Cycle 2 Number of Complaint Health Deficiencies 5
Cycle 2 Health Deficiency Score 72
Cycle 2 Standard Health Survey Date 03/09/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 72
Cycle 3 Total Number of Health Deficiencies 27
Cycle 3 Number of Standard Health Deficiencies 11
Cycle 3 Number of Complaint Health Deficiencies 19
Cycle 3 Health Deficiency Score 112
Cycle 3 Standard Health Survey Date 05/13/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 112
Total Weighted Health Survey Score 84.667
Number of Facility Reported Incidents 9
Number of Substantiated Complaints 19
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Windsor Monterey Care Center

Owner Name Role Association Date
FEIGEN, LAWRENCE (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2007
FEIGEN, LAWRENCE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 04/01/2007
FELDMAN, DONNY (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2007
LEE SAMSON 2010 GRANTOR TR FBO ANNE SAMSON (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2012
MONTE, ALEX (Individual) MANAGING EMPLOYEE since 06/15/2005
S&F MANAGEMENT COMPANY LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 04/01/2007
SAMSON HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2013
SAMSON, LEE (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2013
SAMSON, LEE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 04/01/2007
WINDSOR NORCAL 13 HOLDINGS LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 04/01/2007

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