Kindred Transitional Care & Rehab Center- Lakewood - Tacoma Nursing Home

General Information

UPDATE
Federal Provider Number
505347
Provider Name
KINDRED TRANSITIONAL CARE & REHAB CENTER- LAKEWOOD
Provider Address
11411 BRIDGEPORT WAY
TACOMA, WA 98499
Provider Phone Number
(253) 581-9002
Provider SSA County
260
Provider County Name
Pierce
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KINDRED NURSING CENTERS WEST LLC
Date First Approved to Provide Medicare and Medicaid services
1989-07-26
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
1.89058
Reported LPN Staffing Hours per Resident per Day
0.95000
Reported RN Staffing Hours per Resident per Day
0.79275
Reported Licensed Staffing Hours per Resident per Day
1.74275
Reported Total Nurse Staffing Hours per Resident per Day
3.63333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08261
Expected CNA Staffing Hours per Resident per Day
2.55684
Expected LPN Staffing Hours per Resident per Day
0.70909
Expected RN Staffing Hours per Resident per Day
1.18888
Expected Total Nurse Staffing Hours per Resident per Day
4.45482
Adjusted CNA Staffing Hours per Resident per Day
1.81431
Adjusted LPN Staffing Hours per Resident per Day
1.11199
Adjusted RN Staffing Hours per Resident per Day
0.49824
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28758
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2014-10-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
23
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
148
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
148
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
152
Cycle 3 Standard Health Survey Date
2012-10-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
152
Total Weighted Health Survey Score
128.66700
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
1300
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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