Laurelhurst Village Rehabilitation Center - Portland Nursing Home
General Information
UPDATEFederal Provider Number
385010
Provider Name
LAURELHURST VILLAGE REHABILITATION CENTER
Provider Address
3060 SE STARK STREET
PORTLAND, OR 97214
PORTLAND, OR 97214
Provider Phone Number
(503) 535-4700
Provider SSA County
250
Provider County Name
Multnomah
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
179
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAURELHURST OPERATIONS LLC
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.09688
Reported LPN Staffing Hours per Resident per Day
0.73036
Reported RN Staffing Hours per Resident per Day
0.81295
Reported Licensed Staffing Hours per Resident per Day
1.54330
Reported Total Nurse Staffing Hours per Resident per Day
4.64019
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18482
Expected CNA Staffing Hours per Resident per Day
2.53838
Expected LPN Staffing Hours per Resident per Day
0.68631
Expected RN Staffing Hours per Resident per Day
1.13470
Expected Total Nurse Staffing Hours per Resident per Day
4.35939
Adjusted CNA Staffing Hours per Resident per Day
2.99357
Adjusted LPN Staffing Hours per Resident per Day
0.88327
Adjusted RN Staffing Hours per Resident per Day
0.53533
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29054
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-03-03
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2012-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
315
Cycle 3 Standard Health Survey Date
2011-03-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
315
Total Weighted Health Survey Score
67.16700
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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