Avamere Rehabilitation Of Hillsboro - Hillsboro Nursing Home
General Information
UPDATEFederal Provider Number
385251
Provider Name
AVAMERE REHABILITATION OF HILLSBORO
Provider Address
650 SE OAK STREET
HILLSBORO, OR 97123
HILLSBORO, OR 97123
Provider Phone Number
(503) 648-8588
Provider SSA County
330
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PECKHAM-MILLER, INC
Date First Approved to Provide Medicare and Medicaid services
1996-04-19
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
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
3.14026
Reported LPN Staffing Hours per Resident per Day
0.94416
Reported RN Staffing Hours per Resident per Day
0.82468
Reported Licensed Staffing Hours per Resident per Day
1.76883
Reported Total Nurse Staffing Hours per Resident per Day
4.90910
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22468
Expected CNA Staffing Hours per Resident per Day
2.71798
Expected LPN Staffing Hours per Resident per Day
0.77975
Expected RN Staffing Hours per Resident per Day
1.33016
Expected Total Nurse Staffing Hours per Resident per Day
4.82789
Adjusted CNA Staffing Hours per Resident per Day
2.83492
Adjusted LPN Staffing Hours per Resident per Day
1.00500
Adjusted RN Staffing Hours per Resident per Day
0.46325
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09870
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-07-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-01-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-10-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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