Lagrande Post Acute Rehab - La Grande Nursing Home
General Information
UPDATEFederal Provider Number
385211
Provider Name
LAGRANDE POST ACUTE REHAB
Provider Address
91 ARIES LANE
LA GRANDE, OR 97850
LA GRANDE, OR 97850
Provider Phone Number
5419638678
Provider SSA County
300
Provider County Name
Union
Ownership Type
For profit - Corporation
Number of Certified Beds
76
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVERGREEN OREGON HEALTHCARE MOUNTAIN VISTA,L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1989-11-14
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
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.14306
Reported LPN Staffing Hours per Resident per Day
0.31389
Reported RN Staffing Hours per Resident per Day
1.01250
Reported Licensed Staffing Hours per Resident per Day
1.32639
Reported Total Nurse Staffing Hours per Resident per Day
5.46945
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22500
Expected CNA Staffing Hours per Resident per Day
2.46527
Expected LPN Staffing Hours per Resident per Day
0.59989
Expected RN Staffing Hours per Resident per Day
0.88048
Expected Total Nurse Staffing Hours per Resident per Day
3.94564
Adjusted CNA Staffing Hours per Resident per Day
4.12362
Adjusted LPN Staffing Hours per Resident per Day
0.43429
Adjusted RN Staffing Hours per Resident per Day
0.85923
Adjusted Total Nurse Staffing Hours per Resident per Day
5.58764
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-02-28
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
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-12-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
1950
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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