Washington Nursing Homes >> Everett Nursing Homes >> Bethany At Pacific

Bethany At Pacific - Everett Nursing Home

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Federal Provider Number
505404
Provider Name
BETHANY AT PACIFIC
Provider Address
916 PACIFIC AVENUE 3RD-5TH FLOORS
EVERETT, WA 98201
Provider Phone Number
(425) 259-5508
Provider SSA County
300
Provider County Name
Snohomish
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
111
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BETHANY OF THE NORTHWEST
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.82264
Reported LPN Staffing Hours per Resident per Day
0.78349
Reported RN Staffing Hours per Resident per Day
0.87877
Reported Licensed Staffing Hours per Resident per Day
1.66226
Reported Total Nurse Staffing Hours per Resident per Day
4.48490
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12689
Expected CNA Staffing Hours per Resident per Day
2.68436
Expected LPN Staffing Hours per Resident per Day
0.73783
Expected RN Staffing Hours per Resident per Day
1.22049
Expected Total Nurse Staffing Hours per Resident per Day
4.64268
Adjusted CNA Staffing Hours per Resident per Day
2.58010
Adjusted LPN Staffing Hours per Resident per Day
0.88137
Adjusted RN Staffing Hours per Resident per Day
0.53799
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89391
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
48
Cycle 1 Standard Survey Health Date
2014-06-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-02-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
58.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
7
Number of Fines
2
Total Amount of Fines in Dollars
2275
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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