Clatsop Care Center - Astoria Nursing Home

General Information

UPDATE
Federal Provider Number
385144
Provider Name
CLATSOP CARE CENTER
Provider Address
646 16TH STREET
ASTORIA, OR 97103
Provider Phone Number
5033250313
Provider SSA County
30
Provider County Name
Clatsop
Ownership Type
Government - Hospital district
Number of Certified Beds
71
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLATSOP CARE CENTER HEALTH DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1979-11-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
3.64167
Reported LPN Staffing Hours per Resident per Day
0.49375
Reported RN Staffing Hours per Resident per Day
1.22083
Reported Licensed Staffing Hours per Resident per Day
1.71458
Reported Total Nurse Staffing Hours per Resident per Day
5.35625
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21771
Expected CNA Staffing Hours per Resident per Day
2.63041
Expected LPN Staffing Hours per Resident per Day
0.62479
Expected RN Staffing Hours per Resident per Day
0.95618
Expected Total Nurse Staffing Hours per Resident per Day
4.21138
Adjusted CNA Staffing Hours per Resident per Day
3.39702
Adjusted LPN Staffing Hours per Resident per Day
0.65592
Adjusted RN Staffing Hours per Resident per Day
0.95401
Adjusted Total Nurse Staffing Hours per Resident per Day
5.12671
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-05-08
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
8
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2012-09-28
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2011-06-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
40.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
1170
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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