Washington Nursing Homes >> Everett Nursing Homes >> Forest View Transitional Health Center

Forest View Transitional Health Center - Everett Nursing Home

General Information

UPDATE
Federal Provider Number
505362
Provider Name
FOREST VIEW TRANSITIONAL HEALTH CENTER
Provider Address
5129 HILLTOP ROAD
EVERETT, WA 98203
Provider Phone Number
4252584474
Provider SSA County
300
Provider County Name
Snohomish
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BD EVERETT I, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-12-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
3.11818
Reported LPN Staffing Hours per Resident per Day
0.62364
Reported RN Staffing Hours per Resident per Day
1.20818
Reported Licensed Staffing Hours per Resident per Day
1.83182
Reported Total Nurse Staffing Hours per Resident per Day
4.95000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06727
Expected CNA Staffing Hours per Resident per Day
2.53303
Expected LPN Staffing Hours per Resident per Day
0.61130
Expected RN Staffing Hours per Resident per Day
0.89215
Expected Total Nurse Staffing Hours per Resident per Day
4.03648
Adjusted CNA Staffing Hours per Resident per Day
3.02052
Adjusted LPN Staffing Hours per Resident per Day
0.84675
Adjusted RN Staffing Hours per Resident per Day
1.01189
Adjusted Total Nurse Staffing Hours per Resident per Day
4.94316
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-09-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
30
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
14
Cycle 2 Health Deficiency Score
176
Cycle 2 Standard Health Survey Date
2013-10-18
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
13
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-06-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
132.00000
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
16
Number of Fines
4
Total Amount of Fines in Dollars
4680
Number of Payment Denials
1
Total Number of Penalties
5
Location
Processing Date
2015-06-01

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