Avamere Rehabilitation Of Beaverton - Beaverton Nursing Home
General Information
UPDATEFederal Provider Number
385195
Provider Name
AVAMERE REHABILITATION OF BEAVERTON
Provider Address
11850 SW ALLEN BLVD.
BEAVERTON, OR 97008
BEAVERTON, OR 97008
Provider Phone Number
(503) 646-7164
Provider SSA County
330
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
104
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEAVERTON REHAB & SPECIALTY CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-05-08
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.03333
Reported LPN Staffing Hours per Resident per Day
1.14348
Reported RN Staffing Hours per Resident per Day
0.87754
Reported Licensed Staffing Hours per Resident per Day
2.02101
Reported Total Nurse Staffing Hours per Resident per Day
6.05435
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18188
Expected CNA Staffing Hours per Resident per Day
2.60390
Expected LPN Staffing Hours per Resident per Day
0.75126
Expected RN Staffing Hours per Resident per Day
1.24945
Expected Total Nurse Staffing Hours per Resident per Day
4.60461
Adjusted CNA Staffing Hours per Resident per Day
3.80068
Adjusted LPN Staffing Hours per Resident per Day
1.26333
Adjusted RN Staffing Hours per Resident per Day
0.52479
Adjusted Total Nurse Staffing Hours per Resident per Day
5.30001
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-04-20
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2014-02-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
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
12
Cycle 3 Standard Health Survey Date
2012-07-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
62.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
975
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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