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Emerald Hills Rehabilitation And Skilled Nursing - Lynnwood Nursing Home

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Federal Provider Number
505434
Provider Name
EMERALD HILLS REHABILITATION AND SKILLED NURSING
Provider Address
5821 188TH SOUTHWEST
LYNNWOOD, WA 98037
Provider Phone Number
(425) 776-5512
Provider SSA County
300
Provider County Name
Snohomish
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
67
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LYNNWOOD HEALTH SERVICES, INC.
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
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.18651
Reported LPN Staffing Hours per Resident per Day
0.64286
Reported RN Staffing Hours per Resident per Day
1.35873
Reported Licensed Staffing Hours per Resident per Day
2.00159
Reported Total Nurse Staffing Hours per Resident per Day
4.18810
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12063
Expected CNA Staffing Hours per Resident per Day
2.55553
Expected LPN Staffing Hours per Resident per Day
0.69030
Expected RN Staffing Hours per Resident per Day
1.24493
Expected Total Nurse Staffing Hours per Resident per Day
4.49077
Adjusted CNA Staffing Hours per Resident per Day
2.09938
Adjusted LPN Staffing Hours per Resident per Day
0.77296
Adjusted RN Staffing Hours per Resident per Day
0.81550
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75923
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-05-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-02-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
52.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
6
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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