Avamere Rehabilitation Of King City - Tigard Nursing Home
General Information
UPDATEFederal Provider Number
385132
Provider Name
AVAMERE REHABILITATION OF KING CITY
Provider Address
16485 SW PACIFIC HIGHWAY
TIGARD, OR 97224
TIGARD, OR 97224
Provider Phone Number
5036205141
Provider SSA County
330
Provider County Name
Washington
Ownership Type
For profit - Corporation
Number of Certified Beds
148
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KING CITY REHAB, LLC
Date First Approved to Provide Medicare and Medicaid services
1976-06-01
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
2.96397
Reported LPN Staffing Hours per Resident per Day
1.22059
Reported RN Staffing Hours per Resident per Day
0.87059
Reported Licensed Staffing Hours per Resident per Day
2.09118
Reported Total Nurse Staffing Hours per Resident per Day
5.05515
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07868
Expected CNA Staffing Hours per Resident per Day
2.72302
Expected LPN Staffing Hours per Resident per Day
0.76744
Expected RN Staffing Hours per Resident per Day
1.21640
Expected Total Nurse Staffing Hours per Resident per Day
4.70687
Adjusted CNA Staffing Hours per Resident per Day
2.67082
Adjusted LPN Staffing Hours per Resident per Day
1.32009
Adjusted RN Staffing Hours per Resident per Day
0.53478
Adjusted Total Nurse Staffing Hours per Resident per Day
4.32916
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-12-22
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
12
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-07-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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
Nursiong Homes Nearby
Pacific Health And Rehabilitation
14145 Sw 105th Street |
TIGARD OR 97224 | 1.4 miles away
Marquis Tualatin Post Acute Rehab
19945 Sw Boones Ferry Road |
TUALATIN OR 97062 | 2.2 miles away
Avamere Rehabilitation Of Beaverton
11850 Sw Allen Blvd. |
BEAVERTON OR 97008 | 5.2 miles away
Maryville Nursing Home
14645 Sw Farmington Road |
BEAVERTON OR 97007 | 6.1 miles away
Avamere Rehabilitation Of Hillsboro
650 Se Oak Street |
HILLSBORO OR 97123 | 11.9 miles away
Empres Hillsboro Health And Rehabilitation Center
1778 Ne Cornell Road |
HILLSBORO OR 97124 | 12 miles away
Forest Grove Rehabilitation And Care Center
3900 Pacific Avenue |
FOREST GROVE OR 97116 | 15.8 miles away
Marquis Forest Grove Post Acute Rehab
3300 19th Avenue |
FOREST GROVE OR 97116 | 16.2 miles away
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