Avamere At Pacific Ridge - Tacoma Nursing Home
General Information
UPDATEFederal Provider Number
505264
Provider Name
AVAMERE AT PACIFIC RIDGE
Provider Address
3625 EAST B STREET
TACOMA, WA 98404
TACOMA, WA 98404
Provider Phone Number
(253) 475-2507
Provider SSA County
260
Provider County Name
Pierce
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TACOMA REHAB, LLC
Date First Approved to Provide Medicare and Medicaid services
1982-04-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
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
2.33468
Reported LPN Staffing Hours per Resident per Day
0.75323
Reported RN Staffing Hours per Resident per Day
1.10403
Reported Licensed Staffing Hours per Resident per Day
1.85726
Reported Total Nurse Staffing Hours per Resident per Day
4.19194
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05403
Expected CNA Staffing Hours per Resident per Day
2.35276
Expected LPN Staffing Hours per Resident per Day
0.64920
Expected RN Staffing Hours per Resident per Day
1.01538
Expected Total Nurse Staffing Hours per Resident per Day
4.01735
Adjusted CNA Staffing Hours per Resident per Day
2.43484
Adjusted LPN Staffing Hours per Resident per Day
0.96301
Adjusted RN Staffing Hours per Resident per Day
0.81243
Adjusted Total Nurse Staffing Hours per Resident per Day
4.20608
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-06-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-07-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
26
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
164
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
164
Total Weighted Health Survey Score
76.66700
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
12
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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