Avamere Rehabilitation Of Clackamas - Gladstone Nursing Home
General Information
UPDATEFederal Provider Number
385203
Provider Name
AVAMERE REHABILITATION OF CLACKAMAS
Provider Address
220 E. HEREFORD
GLADSTONE, OR 97027
GLADSTONE, OR 97027
Provider Phone Number
(503) 656-0393
Provider SSA County
20
Provider County Name
Clackamas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
87
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLACKAMAS REHABILITATION, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-08-03
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
3.63415
Reported LPN Staffing Hours per Resident per Day
0.56098
Reported RN Staffing Hours per Resident per Day
0.93537
Reported Licensed Staffing Hours per Resident per Day
1.49634
Reported Total Nurse Staffing Hours per Resident per Day
5.13050
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03537
Expected CNA Staffing Hours per Resident per Day
2.60400
Expected LPN Staffing Hours per Resident per Day
0.70088
Expected RN Staffing Hours per Resident per Day
1.10519
Expected Total Nurse Staffing Hours per Resident per Day
4.41008
Adjusted CNA Staffing Hours per Resident per Day
3.42439
Adjusted LPN Staffing Hours per Resident per Day
0.66432
Adjusted RN Staffing Hours per Resident per Day
0.63238
Adjusted Total Nurse Staffing Hours per Resident per Day
4.68938
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-06-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2012-12-06
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
9
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2011-06-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Fines
1
Total Amount of Fines in Dollars
1170
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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