Life Care Center Of Puyallup - Puyallup Nursing Home

General Information

UPDATE
Federal Provider Number
505324
Provider Name
LIFE CARE CENTER OF PUYALLUP
Provider Address
511 10TH AVENUE SOUTHEAST
PUYALLUP, WA 98372
Provider Phone Number
2538457566
Provider SSA County
260
Provider County Name
Pierce
Ownership Type
For profit - Limited Liability
Number of Certified Beds
202
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VALLEY TERRACE OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-01-01
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
4
QM Rating Footnote
Staffing Rating
4
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
2.40796
Reported LPN Staffing Hours per Resident per Day
0.56504
Reported RN Staffing Hours per Resident per Day
1.31726
Reported Licensed Staffing Hours per Resident per Day
1.88230
Reported Total Nurse Staffing Hours per Resident per Day
4.29026
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24602
Expected CNA Staffing Hours per Resident per Day
2.48880
Expected LPN Staffing Hours per Resident per Day
0.68754
Expected RN Staffing Hours per Resident per Day
1.31672
Expected Total Nurse Staffing Hours per Resident per Day
4.49305
Adjusted CNA Staffing Hours per Resident per Day
2.37400
Adjusted LPN Staffing Hours per Resident per Day
0.68212
Adjusted RN Staffing Hours per Resident per Day
0.74751
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84897
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-06-21
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-07-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
1040
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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