Windcrest Nursing and Rehabilitation Center
210 West Windcrest St, Fredericksburg, TX 78624


Windcrest Nursing and Rehabilitation Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 455941. The address is 210 West Windcrest St, Fredericksburg, TX 78624. The zip code is 78624. The phone number is 8309977422.


Windcrest Nursing and Rehabilitation Center · 210 West Windcrest St, Fredericksburg, TX 78624

Federal Provider Number 455941
Provider Name WINDCREST NURSING AND REHABILITATION CENTER
Address 210 WEST WINDCREST ST
FREDERICKSBURG, TX 78624
Phone Number 8309977422
SSA County Code 552
County Name Gillespie
Ownership Type For profit - Corporation
Certified Beds 120
Certified Beds Residents 75
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PM MANAGEMENT - FREDERICKSBURG NC, LLC
Date First Approved to Provide Medicare Medicaid Services 07/26/1991
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 2
Health Inspection Rating 3
Quality Measure Rating 4
Staffing Rating 1
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 1.66533
Reported LPN Staffing Hours per Resident per Day 0.92467
Reported RN Staffing Hours per Resident per Day 0.472
Reported Licensed Staffing Hours per Resident per Day 1.39667
Reported Total Nurse Staffing Hours per Resident per Day 3.062
Reported Physical Therapist Staffing Hours per Resident Per Day 0.064
Expected CNA Staffing Hours per Resident per Day 2.51458
Expected LPN Staffing Hours per Resident per Day 0.59943
Expected RN Staffing Hours per Resident per Day 1.05069
Expected Total Nurse Staffing Hours per Resident per Day 4.1647
Adjusted CNA Staffing Hours per Resident per Day 1.62501
Adjusted LPN Staffing Hours per Resident per Day 1.28035
Adjusted RN Staffing Hours per Resident per Day 0.33566
Adjusted Total Nurse Staffing Hours per Resident per Day 2.96363
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Health Deficiency Score 48
Cycle 1 Standard Survey Health Date 11/30/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 48
Cycle 2 Total Number of Health Deficiencies 9
Cycle 2 Number of Standard Health Deficiencies 9
Cycle 2 Health Deficiency Score 80
Cycle 2 Standard Health Survey Date 10/22/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 80
Cycle 3 Total Number of Health Deficiencies 11
Cycle 3 Number of Standard Health Deficiencies 11
Cycle 3 Health Deficiency Score 84
Cycle 3 Standard Health Survey Date 08/14/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 84
Total Weighted Health Survey Score 64.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Windcrest Nursing and Rehabilitation Center

Owner Name Role Association Date
CTLTC REAL ESTATE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 03/01/2009
GRANITE INVESTMENT GROUP (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2015
GRANITE INVESTMENT HOLDING CO. INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2015
HANSON, BENJAMIN (Individual) OFFICER since 10/15/2015
HANSON, BENJAMIN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 04/01/2015
HARDEN NON-HUD HOLDCO, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 10/31/2013
HELLER, JOHN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2015
KERR, ANDREW (Individual) OFFICER since 04/01/2015
KERR, ANDREW (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2014
MAJOR TIMBERS LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 03/01/2009
MCKENZIE, MARK (Individual) OFFICER since 04/01/2015
MCKENZIE, MARK (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2014
PICO, ANA (Individual) OFFICER since 10/15/2015
SENIOR CARE CENTER MANAGEMENT LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2014
SENIOR CARE CENTERS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2015
SILVER STAR INVESTMENTS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/01/2015

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