Alaska Gardens Health And Rehabilitation - Tacoma Nursing Home
General Information
UPDATEFederal Provider Number
505483
Provider Name
ALASKA GARDENS HEALTH AND REHABILITATION
Provider Address
6220 SOUTH ALASKA STREET
TACOMA, WA 98408
TACOMA, WA 98408
Provider Phone Number
(253) 476-5300
Provider SSA County
260
Provider County Name
Pierce
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVERGREEN AT TACOMA, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1993-08-26
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
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.08609
Reported LPN Staffing Hours per Resident per Day
1.03261
Reported RN Staffing Hours per Resident per Day
0.59696
Reported Licensed Staffing Hours per Resident per Day
1.62957
Reported Total Nurse Staffing Hours per Resident per Day
3.71566
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12739
Expected CNA Staffing Hours per Resident per Day
2.43017
Expected LPN Staffing Hours per Resident per Day
0.69884
Expected RN Staffing Hours per Resident per Day
1.19878
Expected Total Nurse Staffing Hours per Resident per Day
4.32778
Adjusted CNA Staffing Hours per Resident per Day
2.10629
Adjusted LPN Staffing Hours per Resident per Day
1.22641
Adjusted RN Staffing Hours per Resident per Day
0.37209
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46077
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-05-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-08-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-05-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
70.00000
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
10
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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