Healthcare At Foster Creek - Portland Nursing Home
General Information
UPDATEFederal Provider Number
380000000000000000000000000000
Provider Name
HEALTHCARE AT FOSTER CREEK
Provider Address
6003 SE 136TH AVENUE
PORTLAND, OR 97236
PORTLAND, OR 97236
Provider Phone Number
(503) 761-1155
Provider SSA County
250
Provider County Name
Multnomah
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
114
Number of Residents in Certified Beds
105
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
3.66190
Reported LPN Staffing Hours per Resident per Day
0.78286
Reported RN Staffing Hours per Resident per Day
0.44190
Reported Licensed Staffing Hours per Resident per Day
1.22476
Reported Total Nurse Staffing Hours per Resident per Day
4.88666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.32973
Expected LPN Staffing Hours per Resident per Day
0.59610
Expected RN Staffing Hours per Resident per Day
0.80925
Expected Total Nurse Staffing Hours per Resident per Day
3.73508
Adjusted CNA Staffing Hours per Resident per Day
3.85676
Adjusted LPN Staffing Hours per Resident per Day
1.09005
Adjusted RN Staffing Hours per Resident per Day
0.40802
Adjusted Total Nurse Staffing Hours per Resident per Day
5.27369
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
14
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-04-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
15
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2012-08-15
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
32
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2011-04-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
86.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
10
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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