Friendship Health Center - Portland Nursing Home
General Information
UPDATEFederal Provider Number
385121
Provider Name
FRIENDSHIP HEALTH CENTER
Provider Address
3320 SE HOLGATE
PORTLAND, OR 97202
PORTLAND, OR 97202
Provider Phone Number
(503) 231-1411
Provider SSA County
250
Provider County Name
Multnomah
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
100
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRIENDSHIP HEALTH CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1973-02-12
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
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.40256
Reported LPN Staffing Hours per Resident per Day
0.82436
Reported RN Staffing Hours per Resident per Day
0.69872
Reported Licensed Staffing Hours per Resident per Day
1.52308
Reported Total Nurse Staffing Hours per Resident per Day
4.92564
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15833
Expected CNA Staffing Hours per Resident per Day
2.63458
Expected LPN Staffing Hours per Resident per Day
0.67878
Expected RN Staffing Hours per Resident per Day
1.16581
Expected Total Nurse Staffing Hours per Resident per Day
4.47917
Adjusted CNA Staffing Hours per Resident per Day
3.16896
Adjusted LPN Staffing Hours per Resident per Day
1.00801
Adjusted RN Staffing Hours per Resident per Day
0.44783
Adjusted Total Nurse Staffing Hours per Resident per Day
4.43269
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
32
Cycle 1 Standard Survey Health Date
2015-01-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-09-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-06-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
975
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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