Avamere At Three Fountains - Medford Nursing Home
General Information
UPDATEFederal Provider Number
385126
Provider Name
AVAMERE AT THREE FOUNTAINS
Provider Address
835 CRATER LAKE AVENUE
MEDFORD, OR 97504
MEDFORD, OR 97504
Provider Phone Number
(541) 773-7717
Provider SSA County
140
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
156
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WATERFORD OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1975-06-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.83418
Reported LPN Staffing Hours per Resident per Day
1.06329
Reported RN Staffing Hours per Resident per Day
0.63481
Reported Licensed Staffing Hours per Resident per Day
1.69810
Reported Total Nurse Staffing Hours per Resident per Day
4.53228
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.66429
Expected LPN Staffing Hours per Resident per Day
0.86331
Expected RN Staffing Hours per Resident per Day
1.56578
Expected Total Nurse Staffing Hours per Resident per Day
5.09337
Adjusted CNA Staffing Hours per Resident per Day
2.61016
Adjusted LPN Staffing Hours per Resident per Day
1.02227
Adjusted RN Staffing Hours per Resident per Day
0.30294
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58685
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
18
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-08-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
14
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-02-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2011-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
82.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
17
Number of Fines
4
Total Amount of Fines in Dollars
4875
Number of Payment Denials
0
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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