Aldercrest Health & Rehab Center - Edmonds Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505236
Provider Name
ALDERCREST HEALTH & REHAB CENTER
Provider Address
21400 72ND AVENUE WEST
EDMONDS, WA 98026
EDMONDS, WA 98026
Provider Phone Number
(425) 775-1961
Provider SSA County
300
Provider County Name
Snohomish
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
92
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
1977-08-01
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
2
Health Inspection Rating Footnote
QM Rating
2
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
2.27446
Reported LPN Staffing Hours per Resident per Day
0.47554
Reported RN Staffing Hours per Resident per Day
1.48967
Reported Licensed Staffing Hours per Resident per Day
1.96522
Reported Total Nurse Staffing Hours per Resident per Day
4.23967
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17880
Expected CNA Staffing Hours per Resident per Day
2.60726
Expected LPN Staffing Hours per Resident per Day
0.67045
Expected RN Staffing Hours per Resident per Day
1.09286
Expected Total Nurse Staffing Hours per Resident per Day
4.37057
Adjusted CNA Staffing Hours per Resident per Day
2.14050
Adjusted LPN Staffing Hours per Resident per Day
0.58871
Adjusted RN Staffing Hours per Resident per Day
1.01851
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91018
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
112
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-08-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
82.66700
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
7
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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