Hallmark Manor - Federal Way Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505313
Provider Name
HALLMARK MANOR
Provider Address
32300 FIRST AVENUE SOUTH
FEDERAL WAY, WA 98003
FEDERAL WAY, WA 98003
Provider Phone Number
(253) 874-3580
Provider SSA County
160
Provider County Name
King
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
147
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CONSOLIDATED RESOURCES HEALTH CARE FUND I, L.P.
Date First Approved to Provide Medicare and Medicaid services
1987-05-28
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
4
QM Rating Footnote
Staffing Rating
3
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
2.28547
Reported LPN Staffing Hours per Resident per Day
0.89872
Reported RN Staffing Hours per Resident per Day
0.66795
Reported Licensed Staffing Hours per Resident per Day
1.56667
Reported Total Nurse Staffing Hours per Resident per Day
3.85214
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14658
Expected CNA Staffing Hours per Resident per Day
2.57387
Expected LPN Staffing Hours per Resident per Day
0.67428
Expected RN Staffing Hours per Resident per Day
1.13189
Expected Total Nurse Staffing Hours per Resident per Day
4.38004
Adjusted CNA Staffing Hours per Resident per Day
2.17877
Adjusted LPN Staffing Hours per Resident per Day
1.10627
Adjusted RN Staffing Hours per Resident per Day
0.44094
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54508
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2015-03-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2014-02-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
98.00000
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
2
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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