Washington Nursing Homes >> Spokane Nursing Homes >> Providence St Joseph Care Center

Providence St Joseph Care Center - Spokane Nursing Home

General Information

UPDATE
Federal Provider Number
505414
Provider Name
PROVIDENCE ST JOSEPH CARE CENTER
Provider Address
17 EAST 8TH AVENUE
SPOKANE, WA 99202
Provider Phone Number
5094745678
Provider SSA County
310
Provider County Name
Spokane
Ownership Type
Non profit - Corporation
Number of Certified Beds
162
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Date First Approved to Provide Medicare and Medicaid services
1992-06-06
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
1
Health Inspection Rating Footnote
QM Rating
5
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
2.89279
Reported LPN Staffing Hours per Resident per Day
0.59135
Reported RN Staffing Hours per Resident per Day
1.64327
Reported Licensed Staffing Hours per Resident per Day
2.23462
Reported Total Nurse Staffing Hours per Resident per Day
5.12741
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24038
Expected CNA Staffing Hours per Resident per Day
2.50030
Expected LPN Staffing Hours per Resident per Day
0.72099
Expected RN Staffing Hours per Resident per Day
1.26844
Expected Total Nurse Staffing Hours per Resident per Day
4.48973
Adjusted CNA Staffing Hours per Resident per Day
2.83888
Adjusted LPN Staffing Hours per Resident per Day
0.68076
Adjusted RN Staffing Hours per Resident per Day
0.96800
Adjusted Total Nurse Staffing Hours per Resident per Day
4.60341
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-29
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
21
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
184
Cycle 2 Standard Health Survey Date
2013-09-16
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
92
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-07-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
114.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
1495
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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