Washington Nursing Homes >> Coupeville Nursing Homes >> Careage Of Whidbey

Careage Of Whidbey - Coupeville Nursing Home

General Information

UPDATE
Federal Provider Number
505309
Provider Name
CAREAGE OF WHIDBEY
Provider Address
311 NORTHEAST 3RD STREET
COUPEVILLE, WA 98239
Provider Phone Number
3606782273
Provider SSA County
140
Provider County Name
Island
Ownership Type
For profit - Corporation
Number of Certified Beds
112
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RON HAYES & ASSOCIATES INC
Date First Approved to Provide Medicare and Medicaid services
1987-01-27
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
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.84066
Reported LPN Staffing Hours per Resident per Day
1.15000
Reported RN Staffing Hours per Resident per Day
0.65495
Reported Licensed Staffing Hours per Resident per Day
1.80495
Reported Total Nurse Staffing Hours per Resident per Day
4.64561
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17967
Expected CNA Staffing Hours per Resident per Day
2.65660
Expected LPN Staffing Hours per Resident per Day
0.70009
Expected RN Staffing Hours per Resident per Day
1.20688
Expected Total Nurse Staffing Hours per Resident per Day
4.56358
Adjusted CNA Staffing Hours per Resident per Day
2.62370
Adjusted LPN Staffing Hours per Resident per Day
1.36339
Adjusted RN Staffing Hours per Resident per Day
0.40549
Adjusted Total Nurse Staffing Hours per Resident per Day
4.10336
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-10-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
2013-09-20
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
19
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
428
Cycle 3 Standard Health Survey Date
2012-05-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
428
Total Weighted Health Survey Score
99.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
10
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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