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Arlington Health And Rehabilitation - Arlington Nursing Home

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Federal Provider Number
505351
Provider Name
ARLINGTON HEALTH AND REHABILITATION
Provider Address
620 SOUTH HAZEL STREET
ARLINGTON, WA 98223
Provider Phone Number
(360) 403-8247
Provider SSA County
300
Provider County Name
Snohomish
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
76
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLAY & DAVIS DEVELOPMENT LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.23852
Reported LPN Staffing Hours per Resident per Day
0.90984
Reported RN Staffing Hours per Resident per Day
0.66475
Reported Licensed Staffing Hours per Resident per Day
1.57459
Reported Total Nurse Staffing Hours per Resident per Day
3.81311
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09918
Expected CNA Staffing Hours per Resident per Day
2.49128
Expected LPN Staffing Hours per Resident per Day
0.62569
Expected RN Staffing Hours per Resident per Day
0.99405
Expected Total Nurse Staffing Hours per Resident per Day
4.11102
Adjusted CNA Staffing Hours per Resident per Day
2.20475
Adjusted LPN Staffing Hours per Resident per Day
1.20694
Adjusted RN Staffing Hours per Resident per Day
0.49967
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73879
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-12-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
225
Cycle 3 Standard Health Survey Date
2012-07-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
225
Total Weighted Health Survey Score
43.50000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
3500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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