Columbia Basin Care Facility - The Dalles Nursing Home

General Information

UPDATE
Federal Provider Number
385049
Provider Name
COLUMBIA BASIN CARE FACILITY
Provider Address
1015 WEBBER ROAD
THE DALLES, OR 97058
Provider Phone Number
(541) 296-2156
Provider SSA County
320
Provider County Name
Wasco
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WASCO COUNTY NURSING CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
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
3.40508
Reported LPN Staffing Hours per Resident per Day
0.56864
Reported RN Staffing Hours per Resident per Day
1.22034
Reported Licensed Staffing Hours per Resident per Day
1.78898
Reported Total Nurse Staffing Hours per Resident per Day
5.19406
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06441
Expected CNA Staffing Hours per Resident per Day
2.43075
Expected LPN Staffing Hours per Resident per Day
0.60574
Expected RN Staffing Hours per Resident per Day
0.92276
Expected Total Nurse Staffing Hours per Resident per Day
3.95925
Adjusted CNA Staffing Hours per Resident per Day
3.43723
Adjusted LPN Staffing Hours per Resident per Day
0.77916
Adjusted RN Staffing Hours per Resident per Day
0.98816
Adjusted Total Nurse Staffing Hours per Resident per Day
5.28806
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2012-11-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-09-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
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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