Prestige Post-acute And Rehab Center - Liberty - Centralia Nursing Home
General Information
UPDATEFederal Provider Number
505373
Provider Name
PRESTIGE POST-ACUTE AND REHAB CENTER - LIBERTY
Provider Address
917 SOUTH SCHEUBER ROAD
CENTRALIA, WA 98531
CENTRALIA, WA 98531
Provider Phone Number
3607369384
Provider SSA County
200
Provider County Name
Lewis
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE CENTER CENTRALIA INC
Date First Approved to Provide Medicare and Medicaid services
1991-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.49239
Reported LPN Staffing Hours per Resident per Day
0.68859
Reported RN Staffing Hours per Resident per Day
0.72174
Reported Licensed Staffing Hours per Resident per Day
1.41033
Reported Total Nurse Staffing Hours per Resident per Day
3.90272
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.59746
Expected LPN Staffing Hours per Resident per Day
0.70307
Expected RN Staffing Hours per Resident per Day
1.10974
Expected Total Nurse Staffing Hours per Resident per Day
4.41028
Adjusted CNA Staffing Hours per Resident per Day
2.35444
Adjusted LPN Staffing Hours per Resident per Day
0.81290
Adjusted RN Staffing Hours per Resident per Day
0.48595
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56700
Cycle 1 Total Number of Health Deficiencies
29
Cycle 1 Number of Standard Health Deficiencies
26
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
224
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
224
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
198
Cycle 2 Standard Health Survey Date
2014-01-10
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
56
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
187.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
Number of Fines
4
Total Amount of Fines in Dollars
7150
Number of Payment Denials
1
Total Number of Penalties
5
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Riverside Nursing & Rehab Ctr
1305 Alexander |
CENTRALIA WA 98531 | 1 mile away
Sharon Care Center
1509 Harrison Avenue |
CENTRALIA WA 98531 | 1.6 miles away
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