Avamere Rehabilitation Of Lebanon - Lebanon Nursing Home
General Information
UPDATEFederal Provider Number
385168
Provider Name
AVAMERE REHABILITATION OF LEBANON
Provider Address
350 S. 8TH
LEBANON, OR 97355
LEBANON, OR 97355
Provider Phone Number
(541) 259-1221
Provider SSA County
210
Provider County Name
Linn
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
117
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEBANON CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1986-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
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
2.87067
Reported LPN Staffing Hours per Resident per Day
0.76733
Reported RN Staffing Hours per Resident per Day
0.58933
Reported Licensed Staffing Hours per Resident per Day
1.35667
Reported Total Nurse Staffing Hours per Resident per Day
4.22733
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15333
Expected CNA Staffing Hours per Resident per Day
2.60524
Expected LPN Staffing Hours per Resident per Day
0.64612
Expected RN Staffing Hours per Resident per Day
1.06780
Expected Total Nurse Staffing Hours per Resident per Day
4.31916
Adjusted CNA Staffing Hours per Resident per Day
2.70369
Adjusted LPN Staffing Hours per Resident per Day
0.98570
Adjusted RN Staffing Hours per Resident per Day
0.41239
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94520
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2015-04-07
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-08-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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