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Fir Lane Health And Rehab Ctr - Shelton Nursing Home

General Information

UPDATE
Federal Provider Number
505230
Provider Name
FIR LANE HEALTH AND REHAB CTR
Provider Address
2430 NORTH 13TH STREET
SHELTON, WA 98584
Provider Phone Number
3604261651
Provider SSA County
220
Provider County Name
Mason
Ownership Type
For profit - Corporation
Number of Certified Beds
135
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIR LANE TERRACE CONVALESCENT CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1980-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.40150
Reported LPN Staffing Hours per Resident per Day
0.68450
Reported RN Staffing Hours per Resident per Day
0.78000
Reported Licensed Staffing Hours per Resident per Day
1.46450
Reported Total Nurse Staffing Hours per Resident per Day
3.86600
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20050
Expected CNA Staffing Hours per Resident per Day
2.43854
Expected LPN Staffing Hours per Resident per Day
0.66205
Expected RN Staffing Hours per Resident per Day
1.11111
Expected Total Nurse Staffing Hours per Resident per Day
4.21170
Adjusted CNA Staffing Hours per Resident per Day
2.41643
Adjusted LPN Staffing Hours per Resident per Day
0.85815
Adjusted RN Staffing Hours per Resident per Day
0.52453
Adjusted Total Nurse Staffing Hours per Resident per Day
3.70004
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-03-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-02-25
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
23
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2012-03-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
68.66700
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
14
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

Nursiong Homes Nearby

Shelton Health & Rehab Center

153 Johns Court | SHELTON WA 98584 | 0.2 mile away

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