Island Health & Rehab Center - Bainbridge Island Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505325
Provider Name
ISLAND HEALTH & REHAB CENTER
Provider Address
835 MADISON AVENUE NORTH
BAINBRIDGE ISLAND, WA 98110
BAINBRIDGE ISLAND, WA 98110
Provider Phone Number
(206) 842-4765
Provider SSA County
170
Provider County Name
Kitsap
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
69
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1988-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
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
4
Health Inspection Rating Footnote
QM Rating
5
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
1.99018
Reported LPN Staffing Hours per Resident per Day
0.37857
Reported RN Staffing Hours per Resident per Day
1.52679
Reported Licensed Staffing Hours per Resident per Day
1.90536
Reported Total Nurse Staffing Hours per Resident per Day
3.89554
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15982
Expected CNA Staffing Hours per Resident per Day
2.45134
Expected LPN Staffing Hours per Resident per Day
0.63182
Expected RN Staffing Hours per Resident per Day
1.03725
Expected Total Nurse Staffing Hours per Resident per Day
4.12040
Adjusted CNA Staffing Hours per Resident per Day
1.99209
Adjusted LPN Staffing Hours per Resident per Day
0.49732
Adjusted RN Staffing Hours per Resident per Day
1.09985
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81092
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-02-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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