Good Samaritan Health Care Ctr - Yakima Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505348
Provider Name
GOOD SAMARITAN HEALTH CARE CTR
Provider Address
702 NORTH 16TH AVENUE
YAKIMA, WA 98902
YAKIMA, WA 98902
Provider Phone Number
(509) 248-5320
Provider SSA County
380
Provider County Name
Yakima
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BD YAKIMA I LLC
Date First Approved to Provide Medicare and Medicaid services
1989-09-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.86771
Reported LPN Staffing Hours per Resident per Day
0.50573
Reported RN Staffing Hours per Resident per Day
1.37448
Reported Licensed Staffing Hours per Resident per Day
1.88021
Reported Total Nurse Staffing Hours per Resident per Day
4.74792
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23125
Expected CNA Staffing Hours per Resident per Day
2.53804
Expected LPN Staffing Hours per Resident per Day
0.65649
Expected RN Staffing Hours per Resident per Day
1.15289
Expected Total Nurse Staffing Hours per Resident per Day
4.34741
Adjusted CNA Staffing Hours per Resident per Day
2.77242
Adjusted LPN Staffing Hours per Resident per Day
0.63940
Adjusted RN Staffing Hours per Resident per Day
0.89081
Adjusted Total Nurse Staffing Hours per Resident per Day
4.40225
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-05-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-04-09
Cycle 2 Number of Health Revisits
0
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
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-05-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
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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