Fidalgo Care Center - Anacortes Nursing Home

General Information

UPDATE
Federal Provider Number
505216
Provider Name
FIDALGO CARE CENTER
Provider Address
1105 27TH STREET
ANACORTES, WA 98221
Provider Phone Number
3602933174
Provider SSA County
280
Provider County Name
Skagit
Ownership Type
For profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WAATU INC
Date First Approved to Provide Medicare and Medicaid services
1978-12-27
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
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.16622
Reported LPN Staffing Hours per Resident per Day
1.15676
Reported RN Staffing Hours per Resident per Day
0.98243
Reported Licensed Staffing Hours per Resident per Day
2.13919
Reported Total Nurse Staffing Hours per Resident per Day
5.30541
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18919
Expected CNA Staffing Hours per Resident per Day
2.25590
Expected LPN Staffing Hours per Resident per Day
0.68183
Expected RN Staffing Hours per Resident per Day
1.36545
Expected Total Nurse Staffing Hours per Resident per Day
4.30317
Adjusted CNA Staffing Hours per Resident per Day
3.44384
Adjusted LPN Staffing Hours per Resident per Day
1.40815
Adjusted RN Staffing Hours per Resident per Day
0.53761
Adjusted Total Nurse Staffing Hours per Resident per Day
4.96972
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-05-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
5
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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