North Auburn Rehab & Health Center - Auburn Nursing Home

General Information

UPDATE
Federal Provider Number
505195
Provider Name
NORTH AUBURN REHAB & HEALTH CENTER
Provider Address
2830 I STREET NORTHEAST
AUBURN, WA 98002
Provider Phone Number
2535618100
Provider SSA County
160
Provider County Name
King
Ownership Type
For profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXTENDICARE HOMES, INC
Date First Approved to Provide Medicare and Medicaid services
1983-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.20577
Reported LPN Staffing Hours per Resident per Day
0.68397
Reported RN Staffing Hours per Resident per Day
0.68718
Reported Licensed Staffing Hours per Resident per Day
1.37115
Reported Total Nurse Staffing Hours per Resident per Day
3.57692
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06987
Expected CNA Staffing Hours per Resident per Day
2.44896
Expected LPN Staffing Hours per Resident per Day
0.66668
Expected RN Staffing Hours per Resident per Day
1.12480
Expected Total Nurse Staffing Hours per Resident per Day
4.24044
Adjusted CNA Staffing Hours per Resident per Day
2.21004
Adjusted LPN Staffing Hours per Resident per Day
0.85152
Adjusted RN Staffing Hours per Resident per Day
0.45649
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40017
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2014-02-26
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
20
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
144
Cycle 3 Standard Health Survey Date
2012-10-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
144
Total Weighted Health Survey Score
79.33300
Number of Facility Reported Incidents
2
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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