Issaquah Nursing And Rehabilitation Center - Issaquah Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505004
Provider Name
ISSAQUAH NURSING AND REHABILITATION CENTER
Provider Address
805 FRONT STREET
ISSAQUAH, WA 98027
ISSAQUAH, WA 98027
Provider Phone Number
(425) 392-1271
Provider SSA County
160
Provider County Name
King
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHWEST CARE-ISSAQUAH INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
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
2.71741
Reported LPN Staffing Hours per Resident per Day
0.59063
Reported RN Staffing Hours per Resident per Day
1.09420
Reported Licensed Staffing Hours per Resident per Day
1.68482
Reported Total Nurse Staffing Hours per Resident per Day
4.40224
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10313
Expected CNA Staffing Hours per Resident per Day
2.54478
Expected LPN Staffing Hours per Resident per Day
0.65030
Expected RN Staffing Hours per Resident per Day
1.09060
Expected Total Nurse Staffing Hours per Resident per Day
4.28568
Adjusted CNA Staffing Hours per Resident per Day
2.62015
Adjusted LPN Staffing Hours per Resident per Day
0.75384
Adjusted RN Staffing Hours per Resident per Day
0.74967
Adjusted Total Nurse Staffing Hours per Resident per Day
4.14054
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-02-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-04-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-01-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
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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