Empres Hillsboro Health And Rehabilitation Center - Hillsboro Nursing Home
General Information
UPDATEFederal Provider Number
385217
Provider Name
EMPRES HILLSBORO HEALTH AND REHABILITATION CENTER
Provider Address
1778 NE CORNELL ROAD
HILLSBORO, OR 97124
HILLSBORO, OR 97124
Provider Phone Number
(503) 648-6621
Provider SSA County
330
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
78
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVERGREEN OREGON HEALTHCARE TUALATIN LLC
Date First Approved to Provide Medicare and Medicaid services
1990-05-02
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
3
QM Rating Footnote
Staffing Rating
5
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
3.06639
Reported LPN Staffing Hours per Resident per Day
0.81475
Reported RN Staffing Hours per Resident per Day
1.32623
Reported Licensed Staffing Hours per Resident per Day
2.14098
Reported Total Nurse Staffing Hours per Resident per Day
5.20737
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24590
Expected CNA Staffing Hours per Resident per Day
2.46693
Expected LPN Staffing Hours per Resident per Day
0.65182
Expected RN Staffing Hours per Resident per Day
1.20211
Expected Total Nurse Staffing Hours per Resident per Day
4.32086
Adjusted CNA Staffing Hours per Resident per Day
3.04994
Adjusted LPN Staffing Hours per Resident per Day
1.03747
Adjusted RN Staffing Hours per Resident per Day
0.82435
Adjusted Total Nurse Staffing Hours per Resident per Day
4.85792
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
8
Cycle 1 Standard Survey Health Date
2014-12-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2013-09-09
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
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-04-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
8.00000
Number of Facility Reported Incidents
0
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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