Gateway Care And Retirement - Portland Nursing Home
General Information
UPDATEFederal Provider Number
385268
Provider Name
GATEWAY CARE AND RETIREMENT
Provider Address
39 NE 102ND AVENUE
PORTLAND, OR 97220
PORTLAND, OR 97220
Provider Phone Number
(503) 252-2461
Provider SSA County
250
Provider County Name
Multnomah
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SAPPHIRE AT GATEWAY LLC
Date First Approved to Provide Medicare and Medicaid services
2003-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
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
3.27018
Reported LPN Staffing Hours per Resident per Day
0.38596
Reported RN Staffing Hours per Resident per Day
0.78509
Reported Licensed Staffing Hours per Resident per Day
1.17105
Reported Total Nurse Staffing Hours per Resident per Day
4.44123
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16316
Expected CNA Staffing Hours per Resident per Day
2.26630
Expected LPN Staffing Hours per Resident per Day
0.60848
Expected RN Staffing Hours per Resident per Day
0.94694
Expected Total Nurse Staffing Hours per Resident per Day
3.82172
Adjusted CNA Staffing Hours per Resident per Day
3.54059
Adjusted LPN Staffing Hours per Resident per Day
0.52647
Adjusted RN Staffing Hours per Resident per Day
0.61949
Adjusted Total Nurse Staffing Hours per Resident per Day
4.68432
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
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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