Avamere Health Services Of Rogue Valley - Medford Nursing Home
General Information
UPDATEFederal Provider Number
385024
Provider Name
AVAMERE HEALTH SERVICES OF ROGUE VALLEY
Provider Address
625 STEVENS STREET
MEDFORD, OR 97504
MEDFORD, OR 97504
Provider Phone Number
(541) 779-3551
Provider SSA County
140
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDFORD OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.96364
Reported LPN Staffing Hours per Resident per Day
1.02576
Reported RN Staffing Hours per Resident per Day
0.75530
Reported Licensed Staffing Hours per Resident per Day
1.78106
Reported Total Nurse Staffing Hours per Resident per Day
4.74470
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16894
Expected CNA Staffing Hours per Resident per Day
2.61439
Expected LPN Staffing Hours per Resident per Day
0.66660
Expected RN Staffing Hours per Resident per Day
1.12638
Expected Total Nurse Staffing Hours per Resident per Day
4.40738
Adjusted CNA Staffing Hours per Resident per Day
2.78148
Adjusted LPN Staffing Hours per Resident per Day
1.27719
Adjusted RN Staffing Hours per Resident per Day
0.50104
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33941
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2012-12-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-10-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
2275
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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