Washington Nursing Homes >> Chewelah Nursing Homes >> Providence St Joseph Hospital

Providence St Joseph Hospital - Chewelah Nursing Home

General Information

UPDATE
Federal Provider Number
505354
Provider Name
PROVIDENCE ST JOSEPH HOSPITAL
Provider Address
500 EAST WEBSTER
CHEWELAH, WA 99109
Provider Phone Number
5099358211
Provider SSA County
320
Provider County Name
Stevens
Ownership Type
Non profit - Church related
Number of Certified Beds
40
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
PROVIDENCE HEALTH & SERVICES - WA
Date First Approved to Provide Medicare and Medicaid services
1989-07-20
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
2
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
2.52368
Reported LPN Staffing Hours per Resident per Day
0.19474
Reported RN Staffing Hours per Resident per Day
1.27763
Reported Licensed Staffing Hours per Resident per Day
1.47237
Reported Total Nurse Staffing Hours per Resident per Day
3.99605
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09211
Expected CNA Staffing Hours per Resident per Day
2.60841
Expected LPN Staffing Hours per Resident per Day
0.59673
Expected RN Staffing Hours per Resident per Day
0.92772
Expected Total Nurse Staffing Hours per Resident per Day
4.13286
Adjusted CNA Staffing Hours per Resident per Day
2.37399
Adjusted LPN Staffing Hours per Resident per Day
0.27087
Adjusted RN Staffing Hours per Resident per Day
1.02903
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89747
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
32
Cycle 1 Standard Survey Health Date
2014-05-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-07-25
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
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
137
Cycle 3 Standard Health Survey Date
2012-06-12
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
69
Cycle 3 Total Health Score
206
Total Weighted Health Survey Score
54.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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