Washington Nursing Homes >> Othello Nursing Homes >> Avalon Care Center - Othello Llc

Avalon Care Center - Othello Llc - Othello Nursing Home

General Information

UPDATE
Federal Provider Number
505255
Provider Name
AVALON CARE CENTER - OTHELLO LLC
Provider Address
495 NORTH THIRTEENTH STREET
OTHELLO, WA 99344
Provider Phone Number
5094889609
Provider SSA County
0
Provider County Name
Adams
Ownership Type
For profit - Corporation
Number of Certified Beds
39
Number of Residents in Certified Beds
22
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVALON CARE CENTER - OTHELLO, LLC
Date First Approved to Provide Medicare and Medicaid services
1980-12-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.06136
Reported LPN Staffing Hours per Resident per Day
0.41591
Reported RN Staffing Hours per Resident per Day
1.01591
Reported Licensed Staffing Hours per Resident per Day
1.43182
Reported Total Nurse Staffing Hours per Resident per Day
4.49318
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09773
Expected CNA Staffing Hours per Resident per Day
2.59281
Expected LPN Staffing Hours per Resident per Day
0.68924
Expected RN Staffing Hours per Resident per Day
1.20179
Expected Total Nurse Staffing Hours per Resident per Day
4.48384
Adjusted CNA Staffing Hours per Resident per Day
2.89711
Adjusted LPN Staffing Hours per Resident per Day
0.50085
Adjusted RN Staffing Hours per Resident per Day
0.63163
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03930
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-12
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
5.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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