Avamere Transitional Care At Sunnyside - Salem Nursing Home
General Information
UPDATEFederal Provider Number
385189
Provider Name
AVAMERE TRANSITIONAL CARE AT SUNNYSIDE
Provider Address
4515 SUNNYSIDE ROAD SE
SALEM, OR 97302
SALEM, OR 97302
Provider Phone Number
(503) 370-8284
Provider SSA County
230
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNNYSIDE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-01-24
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
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
3.18676
Reported LPN Staffing Hours per Resident per Day
1.09338
Reported RN Staffing Hours per Resident per Day
0.60882
Reported Licensed Staffing Hours per Resident per Day
1.70221
Reported Total Nurse Staffing Hours per Resident per Day
4.88896
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08382
Expected CNA Staffing Hours per Resident per Day
2.74880
Expected LPN Staffing Hours per Resident per Day
0.86162
Expected RN Staffing Hours per Resident per Day
1.39769
Expected Total Nurse Staffing Hours per Resident per Day
5.00810
Adjusted CNA Staffing Hours per Resident per Day
2.84465
Adjusted LPN Staffing Hours per Resident per Day
1.05325
Adjusted RN Staffing Hours per Resident per Day
0.32547
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93500
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-04-06
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-04-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-10-03
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
28
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
975
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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