Bremerton Health And Rehabilitation Center - Bremerton Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505123
Provider Name
BREMERTON HEALTH AND REHABILITATION CENTER
Provider Address
2701 CLARE AVENUE
BREMERTON, WA 98310
BREMERTON, WA 98310
Provider Phone Number
(360) 377-3951
Provider SSA County
170
Provider County Name
Kitsap
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIR LANE TERRACE CONVALESCENT CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1969-07-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
2.53239
Reported LPN Staffing Hours per Resident per Day
0.65341
Reported RN Staffing Hours per Resident per Day
0.50625
Reported Licensed Staffing Hours per Resident per Day
1.15966
Reported Total Nurse Staffing Hours per Resident per Day
3.69205
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10966
Expected CNA Staffing Hours per Resident per Day
2.35672
Expected LPN Staffing Hours per Resident per Day
0.65231
Expected RN Staffing Hours per Resident per Day
1.13559
Expected Total Nurse Staffing Hours per Resident per Day
4.14463
Adjusted CNA Staffing Hours per Resident per Day
2.63660
Adjusted LPN Staffing Hours per Resident per Day
0.83140
Adjusted RN Staffing Hours per Resident per Day
0.33310
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59074
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-04-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
88.00000
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
1300
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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