Riverside Nursing & Rehab Ctr - Centralia Nursing Home
General Information
UPDATEFederal Provider Number
505358
Provider Name
RIVERSIDE NURSING & REHAB CTR
Provider Address
1305 ALEXANDER
CENTRALIA, WA 98531
CENTRALIA, WA 98531
Provider Phone Number
3607362823
Provider SSA County
200
Provider County Name
Lewis
Ownership Type
For profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
83
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
1989-09-07
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
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
2.25060
Reported LPN Staffing Hours per Resident per Day
0.51446
Reported RN Staffing Hours per Resident per Day
1.11386
Reported Licensed Staffing Hours per Resident per Day
1.62831
Reported Total Nurse Staffing Hours per Resident per Day
3.87892
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06687
Expected CNA Staffing Hours per Resident per Day
2.38133
Expected LPN Staffing Hours per Resident per Day
0.67043
Expected RN Staffing Hours per Resident per Day
1.13600
Expected Total Nurse Staffing Hours per Resident per Day
4.18776
Adjusted CNA Staffing Hours per Resident per Day
2.31900
Adjusted LPN Staffing Hours per Resident per Day
0.63691
Adjusted RN Staffing Hours per Resident per Day
0.73264
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73363
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
31
Cycle 2 Number of Standard Health Deficiencies
21
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
176
Cycle 2 Standard Health Survey Date
2014-03-07
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
88
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2013-02-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
139.33300
Number of Facility Reported Incidents
12
Number of Substantiated Complaints
16
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Prestige Post-acute And Rehab Center - Liberty
917 South Scheuber Road |
CENTRALIA WA 98531 | 1 mile away
Sharon Care Center
1509 Harrison Avenue |
CENTRALIA WA 98531 | 1.3 miles away
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