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Caroline Kline Galland Home - Seattle Nursing Home

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Federal Provider Number
505442
Provider Name
CAROLINE KLINE GALLAND HOME
Provider Address
7500 SEWARD PARK AVENUE SOUTH
SEATTLE, WA 98118
Provider Phone Number
(206) 725-8800
Provider SSA County
160
Provider County Name
King
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
205
Number of Residents in Certified Beds
201
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE CAROLINE KLINE GALLAND HOME
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
3.26294
Reported LPN Staffing Hours per Resident per Day
0.46393
Reported RN Staffing Hours per Resident per Day
1.35622
Reported Licensed Staffing Hours per Resident per Day
1.82015
Reported Total Nurse Staffing Hours per Resident per Day
5.08309
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17960
Expected CNA Staffing Hours per Resident per Day
2.49291
Expected LPN Staffing Hours per Resident per Day
0.62297
Expected RN Staffing Hours per Resident per Day
0.99963
Expected Total Nurse Staffing Hours per Resident per Day
4.11552
Adjusted CNA Staffing Hours per Resident per Day
3.21162
Adjusted LPN Staffing Hours per Resident per Day
0.61810
Adjusted RN Staffing Hours per Resident per Day
1.01374
Adjusted Total Nurse Staffing Hours per Resident per Day
4.97858
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
24
Cycle 1 Standard Survey Health Date
2014-03-25
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
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2012-10-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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