Washington Nursing Homes >> Seattle Nursing Homes >> Columbia Lutheran Home

Columbia Lutheran Home - Seattle Nursing Home

General Information

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Federal Provider Number
505470
Provider Name
COLUMBIA LUTHERAN HOME
Provider Address
4700 PHINNEY AVENUE NORTH
SEATTLE, WA 98103
Provider Phone Number
(206) 632-7400
Provider SSA County
160
Provider County Name
King
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLUMBIA LUTHERAN MINISTRIES
Date First Approved to Provide Medicare and Medicaid services
1992-03-01
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
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.71743
Reported LPN Staffing Hours per Resident per Day
0.53624
Reported RN Staffing Hours per Resident per Day
0.93945
Reported Licensed Staffing Hours per Resident per Day
1.47569
Reported Total Nurse Staffing Hours per Resident per Day
4.19312
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15321
Expected CNA Staffing Hours per Resident per Day
2.81734
Expected LPN Staffing Hours per Resident per Day
0.71414
Expected RN Staffing Hours per Resident per Day
1.12461
Expected Total Nurse Staffing Hours per Resident per Day
4.65609
Adjusted CNA Staffing Hours per Resident per Day
2.36669
Adjusted LPN Staffing Hours per Resident per Day
0.62324
Adjusted RN Staffing Hours per Resident per Day
0.62418
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63009
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-11-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-12-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
0
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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