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Everett Center - Everett Nursing Home

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Federal Provider Number
505491
Provider Name
EVERETT CENTER
Provider Address
1919 112TH STREET SOUTHWEST
EVERETT, WA 98204
Provider Phone Number
(425) 513-1600
Provider SSA County
300
Provider County Name
Snohomish
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNBRIDGE NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1995-09-18
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.48598
Reported LPN Staffing Hours per Resident per Day
0.67439
Reported RN Staffing Hours per Resident per Day
1.55976
Reported Licensed Staffing Hours per Resident per Day
2.23415
Reported Total Nurse Staffing Hours per Resident per Day
4.72013
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18963
Expected CNA Staffing Hours per Resident per Day
2.53456
Expected LPN Staffing Hours per Resident per Day
0.93943
Expected RN Staffing Hours per Resident per Day
1.52559
Expected Total Nurse Staffing Hours per Resident per Day
4.99958
Adjusted CNA Staffing Hours per Resident per Day
2.40667
Adjusted LPN Staffing Hours per Resident per Day
0.59583
Adjusted RN Staffing Hours per Resident per Day
0.76393
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80559
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-12-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
31
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
14
Cycle 3 Health Deficiency Score
188
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
188
Total Weighted Health Survey Score
104.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
29
Number of Fines
2
Total Amount of Fines in Dollars
3250
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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