Judson Park Health Center - Des Moines Nursing Home

General Information

UPDATE
Federal Provider Number
505455
Provider Name
JUDSON PARK HEALTH CENTER
Provider Address
23620 MARINE VIEW DRIVE SOUTH
DES MOINES, WA 98198
Provider Phone Number
2068244000
Provider SSA County
160
Provider County Name
King
Ownership Type
Non profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMERICAN BAPTIST HOMES OF WASHINGTON
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
2
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
2.45347
Reported LPN Staffing Hours per Resident per Day
0.49167
Reported RN Staffing Hours per Resident per Day
1.24653
Reported Licensed Staffing Hours per Resident per Day
1.73819
Reported Total Nurse Staffing Hours per Resident per Day
4.19167
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13125
Expected CNA Staffing Hours per Resident per Day
2.45661
Expected LPN Staffing Hours per Resident per Day
0.61820
Expected RN Staffing Hours per Resident per Day
1.08219
Expected Total Nurse Staffing Hours per Resident per Day
4.15700
Adjusted CNA Staffing Hours per Resident per Day
2.45056
Adjusted LPN Staffing Hours per Resident per Day
0.66012
Adjusted RN Staffing Hours per Resident per Day
0.86067
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06452
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-04-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2012-04-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
82.00000
Number of Facility Reported Incidents
0
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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