Briarwood At Timber Ridge - Issaquah Nursing Home

General Information

UPDATE
Federal Provider Number
505518
Provider Name
BRIARWOOD AT TIMBER RIDGE
Provider Address
100 TIMBER RIDGE WAY NW
ISSAQUAH, WA 98027
Provider Phone Number
4254275200
Provider SSA County
160
Provider County Name
King
Ownership Type
For profit - Partnership
Number of Certified Beds
36
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LCS-WESTMINSTER PARTNERSHIP III LLP
Date First Approved to Provide Medicare and Medicaid services
2008-06-30
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
3.07742
Reported LPN Staffing Hours per Resident per Day
0.55806
Reported RN Staffing Hours per Resident per Day
1.54839
Reported Licensed Staffing Hours per Resident per Day
2.10645
Reported Total Nurse Staffing Hours per Resident per Day
5.18387
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20000
Expected CNA Staffing Hours per Resident per Day
2.45711
Expected LPN Staffing Hours per Resident per Day
0.56302
Expected RN Staffing Hours per Resident per Day
0.87109
Expected Total Nurse Staffing Hours per Resident per Day
3.89123
Adjusted CNA Staffing Hours per Resident per Day
3.07315
Adjusted LPN Staffing Hours per Resident per Day
0.82268
Adjusted RN Staffing Hours per Resident per Day
1.32817
Adjusted Total Nurse Staffing Hours per Resident per Day
5.36994
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-02-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-03-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-11-14
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
9
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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Kin On Health Care Center

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