Bothell Health Care - Bothell Nursing Home

General Information

UPDATE
Federal Provider Number
505431
Provider Name
BOTHELL HEALTH CARE
Provider Address
707 - 228TH SOUTHWEST
BOTHELL, WA 98021
Provider Phone Number
4254818500
Provider SSA County
300
Provider County Name
Snohomish
Ownership Type
For profit - Individual
Number of Certified Beds
99
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
QUALITY HEALTH CARE OF BOTHELL LLC
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.59167
Reported LPN Staffing Hours per Resident per Day
0.82167
Reported RN Staffing Hours per Resident per Day
0.89444
Reported Licensed Staffing Hours per Resident per Day
1.71611
Reported Total Nurse Staffing Hours per Resident per Day
4.30778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18056
Expected CNA Staffing Hours per Resident per Day
2.65226
Expected LPN Staffing Hours per Resident per Day
0.66263
Expected RN Staffing Hours per Resident per Day
1.12427
Expected Total Nurse Staffing Hours per Resident per Day
4.43915
Adjusted CNA Staffing Hours per Resident per Day
2.39765
Adjusted LPN Staffing Hours per Resident per Day
1.02922
Adjusted RN Staffing Hours per Resident per Day
0.59445
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91161
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-05-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-02-21
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
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-01-27
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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