Kindred Transitional Care & Rehab Ctr Vancouver - Vancouver Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505206
Provider Name
KINDRED TRANSITIONAL CARE & REHAB CTR VANCOUVER
Provider Address
400 EAST 33RD STREET
VANCOUVER, WA 98663
VANCOUVER, WA 98663
Provider Phone Number
(360) 696-2561
Provider SSA County
50
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
68
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
1970-11-09
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
4
QM Rating Footnote
Staffing Rating
2
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
1.76985
Reported LPN Staffing Hours per Resident per Day
0.89044
Reported RN Staffing Hours per Resident per Day
0.70588
Reported Licensed Staffing Hours per Resident per Day
1.59632
Reported Total Nurse Staffing Hours per Resident per Day
3.36617
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08382
Expected CNA Staffing Hours per Resident per Day
2.45450
Expected LPN Staffing Hours per Resident per Day
0.70608
Expected RN Staffing Hours per Resident per Day
1.17172
Expected Total Nurse Staffing Hours per Resident per Day
4.33230
Adjusted CNA Staffing Hours per Resident per Day
1.76927
Adjusted LPN Staffing Hours per Resident per Day
1.04672
Adjusted RN Staffing Hours per Resident per Day
0.45014
Adjusted Total Nurse Staffing Hours per Resident per Day
3.13199
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
20
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-06-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
152
Cycle 2 Standard Health Survey Date
2013-05-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
152
Cycle 3 Total Number of Health Deficiencies
32
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
12
Cycle 3 Health Deficiency Score
252
Cycle 3 Standard Health Survey Date
2012-05-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
252
Total Weighted Health Survey Score
138.66700
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
35
Number of Fines
1
Total Amount of Fines in Dollars
1300
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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