Cascade Terrace - Portland Nursing Home

General Information

UPDATE
Federal Provider Number
385187
Provider Name
CASCADE TERRACE
Provider Address
5601 SE 122ND AVENUE
PORTLAND, OR 97236
Provider Phone Number
5037613181
Provider SSA County
250
Provider County Name
Multnomah
Ownership Type
For profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE CENTER (CASCADE TERRACE), INC.
Date First Approved to Provide Medicare and Medicaid services
1988-07-11
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
3
Health Inspection Rating Footnote
QM Rating
4
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
2.89595
Reported LPN Staffing Hours per Resident per Day
0.55676
Reported RN Staffing Hours per Resident per Day
0.83446
Reported Licensed Staffing Hours per Resident per Day
1.39122
Reported Total Nurse Staffing Hours per Resident per Day
4.28717
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18041
Expected CNA Staffing Hours per Resident per Day
2.63435
Expected LPN Staffing Hours per Resident per Day
0.77848
Expected RN Staffing Hours per Resident per Day
1.40179
Expected Total Nurse Staffing Hours per Resident per Day
4.81462
Adjusted CNA Staffing Hours per Resident per Day
2.69736
Adjusted LPN Staffing Hours per Resident per Day
0.59361
Adjusted RN Staffing Hours per Resident per Day
0.44479
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58931
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-02-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2012-09-14
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-05-09
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
2080
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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