Cottesmore Of Life Care - Gig Harbor Nursing Home
General Information
UPDATEFederal Provider Number
505499
Provider Name
COTTESMORE OF LIFE CARE
Provider Address
2909 14TH AVENUE NORTHWEST
GIG HARBOR, WA 98335
GIG HARBOR, WA 98335
Provider Phone Number
(253) 851-5433
Provider SSA County
260
Provider County Name
Pierce
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GIG HARBOR OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-12-06
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
5
QM Rating Footnote
Staffing Rating
4
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
2.53218
Reported LPN Staffing Hours per Resident per Day
0.62079
Reported RN Staffing Hours per Resident per Day
1.33465
Reported Licensed Staffing Hours per Resident per Day
1.95545
Reported Total Nurse Staffing Hours per Resident per Day
4.48762
Reported Physical Therapist Staffing Hours per Resident Per Day
0.30693
Expected CNA Staffing Hours per Resident per Day
2.58538
Expected LPN Staffing Hours per Resident per Day
0.68798
Expected RN Staffing Hours per Resident per Day
1.23465
Expected Total Nurse Staffing Hours per Resident per Day
4.50800
Adjusted CNA Staffing Hours per Resident per Day
2.40321
Adjusted LPN Staffing Hours per Resident per Day
0.74894
Adjusted RN Staffing Hours per Resident per Day
0.80772
Adjusted Total Nurse Staffing Hours per Resident per Day
4.01268
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-03-23
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-02-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
8.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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