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Delta Rehabilitation Center - Snohomish Nursing Home

General Information

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Federal Provider Number
505467
Provider Name
DELTA REHABILITATION CENTER
Provider Address
1705 TERRACE
SNOHOMISH, WA 98290
Provider Phone Number
(360) 568-2168
Provider SSA County
300
Provider County Name
Snohomish
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DELTA REHABILITATION CENTER
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.24182
Reported LPN Staffing Hours per Resident per Day
0.87318
Reported RN Staffing Hours per Resident per Day
0.60136
Reported Licensed Staffing Hours per Resident per Day
1.47455
Reported Total Nurse Staffing Hours per Resident per Day
4.71636
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00773
Expected CNA Staffing Hours per Resident per Day
2.32758
Expected LPN Staffing Hours per Resident per Day
0.64089
Expected RN Staffing Hours per Resident per Day
0.90626
Expected Total Nurse Staffing Hours per Resident per Day
3.87473
Adjusted CNA Staffing Hours per Resident per Day
3.41748
Adjusted LPN Staffing Hours per Resident per Day
1.13083
Adjusted RN Staffing Hours per Resident per Day
0.49581
Adjusted Total Nurse Staffing Hours per Resident per Day
4.90645
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-02-02
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
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-03-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
123
Cycle 3 Standard Health Survey Date
2012-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
123
Total Weighted Health Survey Score
35.16700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
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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