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Anderson House - Seattle Nursing Home

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Federal Provider Number
505462
Provider Name
ANDERSON HOUSE
Provider Address
17127 15TH AVENUE NORTHEAST
SEATTLE, WA 98155
Provider Phone Number
(206) 364-7131
Provider SSA County
160
Provider County Name
King
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
69
Number of Residents in Certified Beds
29
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
AH, LLC
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
3
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
2.48793
Reported LPN Staffing Hours per Resident per Day
0.67586
Reported RN Staffing Hours per Resident per Day
1.53621
Reported Licensed Staffing Hours per Resident per Day
2.21207
Reported Total Nurse Staffing Hours per Resident per Day
4.70000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23966
Expected CNA Staffing Hours per Resident per Day
2.50825
Expected LPN Staffing Hours per Resident per Day
0.70639
Expected RN Staffing Hours per Resident per Day
1.38306
Expected Total Nurse Staffing Hours per Resident per Day
4.59771
Adjusted CNA Staffing Hours per Resident per Day
2.43382
Adjusted LPN Staffing Hours per Resident per Day
0.79412
Adjusted RN Staffing Hours per Resident per Day
0.82994
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12058
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-07-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-05-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
140
Cycle 3 Standard Health Survey Date
2012-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
140
Total Weighted Health Survey Score
68.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
4
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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