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Bailey-boushay House - Seattle Nursing Home

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Federal Provider Number
505476
Provider Name
BAILEY-BOUSHAY HOUSE
Provider Address
2720 EAST MADISON
SEATTLE, WA 98112
Provider Phone Number
(206) 322-5300
Provider SSA County
160
Provider County Name
King
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
35
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VIRGINIA MASON MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1992-06-25
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.52258
Reported LPN Staffing Hours per Resident per Day
0.12903
Reported RN Staffing Hours per Resident per Day
5.44516
Reported Licensed Staffing Hours per Resident per Day
5.57419
Reported Total Nurse Staffing Hours per Resident per Day
10.09677
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13065
Expected CNA Staffing Hours per Resident per Day
2.26522
Expected LPN Staffing Hours per Resident per Day
0.71104
Expected RN Staffing Hours per Resident per Day
0.99590
Expected Total Nurse Staffing Hours per Resident per Day
3.97216
Adjusted CNA Staffing Hours per Resident per Day
4.89889
Adjusted LPN Staffing Hours per Resident per Day
0.15062
Adjusted RN Staffing Hours per Resident per Day
4.08538
Adjusted Total Nurse Staffing Hours per Resident per Day
10.24609
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-02-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
30.00000
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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