Sequim Health & Rehabilitation - Sequim Nursing Home
General Information
UPDATEFederal Provider Number
505128
Provider Name
SEQUIM HEALTH & REHABILITATION
Provider Address
650 WEST HEMLOCK ST
SEQUIM, WA 98382
SEQUIM, WA 98382
Provider Phone Number
3605822400
Provider SSA County
40
Provider County Name
Clallam
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIR LANE TERRACE CONVALESCENT CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1969-10-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.36633
Reported LPN Staffing Hours per Resident per Day
0.40255
Reported RN Staffing Hours per Resident per Day
1.25867
Reported Licensed Staffing Hours per Resident per Day
1.66122
Reported Total Nurse Staffing Hours per Resident per Day
4.02755
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18010
Expected CNA Staffing Hours per Resident per Day
2.46053
Expected LPN Staffing Hours per Resident per Day
0.70614
Expected RN Staffing Hours per Resident per Day
1.34889
Expected Total Nurse Staffing Hours per Resident per Day
4.51556
Adjusted CNA Staffing Hours per Resident per Day
2.35976
Adjusted LPN Staffing Hours per Resident per Day
0.47316
Adjusted RN Staffing Hours per Resident per Day
0.69723
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59527
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
28
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-08-13
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
11
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-07-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
13
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
1105
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Avamere Olympic Rehabilitation Of Sequim
1000 5th Avenue South |
SEQUIM WA 98382 | 0.3 mile away
Crestwood Health And Rehabilitation Center
1116 E Lauridsen Boulevard |
PORT ANGELES WA 98362 | 14.2 miles away
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