French Prairie Nursing And Rehabilitation Center - Woodburn Nursing Home
General Information
UPDATEFederal Provider Number
385117
Provider Name
FRENCH PRAIRIE NURSING AND REHABILITATION CENTER
Provider Address
601 EVERGREEN ROAD
WOODBURN, OR 97071
WOODBURN, OR 97071
Provider Phone Number
(503) 982-0111
Provider SSA County
230
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
3C2MD, INC.
Date First Approved to Provide Medicare and Medicaid services
1972-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.93298
Reported LPN Staffing Hours per Resident per Day
0.92766
Reported RN Staffing Hours per Resident per Day
0.50000
Reported Licensed Staffing Hours per Resident per Day
1.42766
Reported Total Nurse Staffing Hours per Resident per Day
4.36064
Reported Physical Therapist Staffing Hours per Resident Per Day
0.34043
Expected CNA Staffing Hours per Resident per Day
2.56318
Expected LPN Staffing Hours per Resident per Day
0.74137
Expected RN Staffing Hours per Resident per Day
1.28417
Expected Total Nurse Staffing Hours per Resident per Day
4.58873
Adjusted CNA Staffing Hours per Resident per Day
2.80771
Adjusted LPN Staffing Hours per Resident per Day
1.03855
Adjusted RN Staffing Hours per Resident per Day
0.29093
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83054
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-04-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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