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Shelton Health & Rehab Center - Shelton Nursing Home

General Information

UPDATE
Federal Provider Number
505507
Provider Name
SHELTON HEALTH & REHAB CENTER
Provider Address
153 JOHNS COURT
SHELTON, WA 98584
Provider Phone Number
3604272575
Provider SSA County
220
Provider County Name
Mason
Ownership Type
For profit - Corporation
Number of Certified Beds
76
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVERGREEN AT SHELTON, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1999-02-12
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
4
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
2.23468
Reported LPN Staffing Hours per Resident per Day
0.72339
Reported RN Staffing Hours per Resident per Day
0.78710
Reported Licensed Staffing Hours per Resident per Day
1.51048
Reported Total Nurse Staffing Hours per Resident per Day
3.74517
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06855
Expected CNA Staffing Hours per Resident per Day
2.55834
Expected LPN Staffing Hours per Resident per Day
0.66430
Expected RN Staffing Hours per Resident per Day
1.09602
Expected Total Nurse Staffing Hours per Resident per Day
4.31866
Adjusted CNA Staffing Hours per Resident per Day
2.14328
Adjusted LPN Staffing Hours per Resident per Day
0.90382
Adjusted RN Staffing Hours per Resident per Day
0.53660
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49562
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
2014-07-24
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
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-06-21
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
18
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

Nursiong Homes Nearby

Fir Lane Health And Rehab Ctr

2430 North 13th Street | SHELTON WA 98584 | 0.2 mile away

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