Columbia Care Center - Scappoose Nursing Home
General Information
UPDATEFederal Provider Number
38000000000000000000000000
Provider Name
COLUMBIA CARE CENTER
Provider Address
33910 E. COLUMBIA AVENUE
SCAPPOOSE, OR 97056
SCAPPOOSE, OR 97056
Provider Phone Number
(503) 543-7131
Provider SSA County
40
Provider County Name
Columbia
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
29
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.53448
Reported LPN Staffing Hours per Resident per Day
1.37414
Reported RN Staffing Hours per Resident per Day
0.57759
Reported Licensed Staffing Hours per Resident per Day
1.95172
Reported Total Nurse Staffing Hours per Resident per Day
5.48621
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01034
Expected CNA Staffing Hours per Resident per Day
2.34472
Expected LPN Staffing Hours per Resident per Day
0.59022
Expected RN Staffing Hours per Resident per Day
0.83631
Expected Total Nurse Staffing Hours per Resident per Day
3.77125
Adjusted CNA Staffing Hours per Resident per Day
3.69876
Adjusted LPN Staffing Hours per Resident per Day
1.93238
Adjusted RN Staffing Hours per Resident per Day
0.51605
Adjusted Total Nurse Staffing Hours per Resident per Day
5.86394
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
265
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
265
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-10-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
147.16700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
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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