Washington Nursing Homes >> Raymond Nursing Homes >> Willapa Harbor Health And Rehab

Willapa Harbor Health And Rehab - Raymond Nursing Home

General Information

UPDATE
Federal Provider Number
505349
Provider Name
WILLAPA HARBOR HEALTH AND REHAB
Provider Address
1100 JACKSON STREET
RAYMOND, WA 98577
Provider Phone Number
3609422424
Provider SSA County
240
Provider County Name
Pacific
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVALON CARE CENTER - RAYMOND, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.15789
Reported LPN Staffing Hours per Resident per Day
0.90395
Reported RN Staffing Hours per Resident per Day
1.38421
Reported Licensed Staffing Hours per Resident per Day
2.28816
Reported Total Nurse Staffing Hours per Resident per Day
4.44605
Reported Physical Therapist Staffing Hours per Resident Per Day
0.30132
Expected CNA Staffing Hours per Resident per Day
2.55031
Expected LPN Staffing Hours per Resident per Day
0.65705
Expected RN Staffing Hours per Resident per Day
1.23160
Expected Total Nurse Staffing Hours per Resident per Day
4.43897
Adjusted CNA Staffing Hours per Resident per Day
2.07614
Adjusted LPN Staffing Hours per Resident per Day
1.14189
Adjusted RN Staffing Hours per Resident per Day
0.83979
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03733
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-10-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-19
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-12-14
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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
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