Alderwood Manor - Spokane Nursing Home
General Information
UPDATEFederal Provider Number
505257
Provider Name
ALDERWOOD MANOR
Provider Address
3600 EAST HARTSON AVENUE
SPOKANE, WA 99202
SPOKANE, WA 99202
Provider Phone Number
(509) 535-2071
Provider SSA County
310
Provider County Name
Spokane
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CONSOLIDATED RESOURCES HEALTH CARE FUND I, L.P.
Date First Approved to Provide Medicare and Medicaid services
1981-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
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
1
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
2.56742
Reported LPN Staffing Hours per Resident per Day
0.39697
Reported RN Staffing Hours per Resident per Day
1.54091
Reported Licensed Staffing Hours per Resident per Day
1.93788
Reported Total Nurse Staffing Hours per Resident per Day
4.50530
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26288
Expected CNA Staffing Hours per Resident per Day
2.62214
Expected LPN Staffing Hours per Resident per Day
0.75845
Expected RN Staffing Hours per Resident per Day
1.28797
Expected Total Nurse Staffing Hours per Resident per Day
4.66857
Adjusted CNA Staffing Hours per Resident per Day
2.40249
Adjusted LPN Staffing Hours per Resident per Day
0.43442
Adjusted RN Staffing Hours per Resident per Day
0.89394
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88993
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-03-20
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
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-04-05
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
11
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
3
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
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