Hearthstone, The - Seattle Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505027
Provider Name
HEARTHSTONE, THE
Provider Address
6720 EAST GREEN LAKE WAY NORTH
SEATTLE, WA 98103
SEATTLE, WA 98103
Provider Phone Number
(206) 525-9666
Provider SSA County
160
Provider County Name
King
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN RETIREMENT HOME OF GREATER SEATTLE INC
Date First Approved to Provide Medicare and Medicaid services
1981-08-18
Continuing Care Retirement Community
Y
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
5
QM Rating Footnote
Staffing Rating
2
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
1.11667
Reported LPN Staffing Hours per Resident per Day
0.45139
Reported RN Staffing Hours per Resident per Day
1.03194
Reported Licensed Staffing Hours per Resident per Day
1.48333
Reported Total Nurse Staffing Hours per Resident per Day
2.60000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16111
Expected CNA Staffing Hours per Resident per Day
2.70655
Expected LPN Staffing Hours per Resident per Day
0.64365
Expected RN Staffing Hours per Resident per Day
1.09223
Expected Total Nurse Staffing Hours per Resident per Day
4.44243
Adjusted CNA Staffing Hours per Resident per Day
1.01235
Adjusted LPN Staffing Hours per Resident per Day
0.58208
Adjusted RN Staffing Hours per Resident per Day
0.70596
Adjusted Total Nurse Staffing Hours per Resident per Day
2.35915
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
2015-03-25
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-04-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
519
Cycle 3 Standard Health Survey Date
2013-02-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
519
Total Weighted Health Survey Score
105.16700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
3570
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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