Avamere Rehabilitation Of Coos Bay - Coos Bay Nursing Home
General Information
UPDATEFederal Provider Number
385239
Provider Name
AVAMERE REHABILITATION OF COOS BAY
Provider Address
2625 KOOS BAY BLVD
COOS BAY, OR 97420
COOS BAY, OR 97420
Provider Phone Number
(541) 267-2161
Provider SSA County
50
Provider County Name
Coos
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COOS BAY REHABILITATION, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-01-25
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
4
QM Rating Footnote
Staffing Rating
3
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
3.64070
Reported LPN Staffing Hours per Resident per Day
0.85000
Reported RN Staffing Hours per Resident per Day
0.62326
Reported Licensed Staffing Hours per Resident per Day
1.47326
Reported Total Nurse Staffing Hours per Resident per Day
5.11396
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11977
Expected CNA Staffing Hours per Resident per Day
2.54043
Expected LPN Staffing Hours per Resident per Day
0.77204
Expected RN Staffing Hours per Resident per Day
1.26625
Expected Total Nurse Staffing Hours per Resident per Day
4.57873
Adjusted CNA Staffing Hours per Resident per Day
3.51641
Adjusted LPN Staffing Hours per Resident per Day
0.91381
Adjusted RN Staffing Hours per Resident per Day
0.36778
Adjusted Total Nurse Staffing Hours per Resident per Day
4.50209
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
3250
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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