Lawrence Convalescent Ctr - Portland Nursing Home
General Information
UPDATEFederal Provider Number
385277
Provider Name
LAWRENCE CONVALESCENT CTR
Provider Address
812 SE 48TH AVENUE
PORTLAND, OR 97215
PORTLAND, OR 97215
Provider Phone Number
(503) 236-2624
Provider SSA County
250
Provider County Name
Multnomah
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
41
Number of Residents in Certified Beds
31
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHARLES W LAWRENCE
Date First Approved to Provide Medicare and Medicaid services
2012-12-10
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
5
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
3.86774
Reported LPN Staffing Hours per Resident per Day
0.45161
Reported RN Staffing Hours per Resident per Day
0.99355
Reported Licensed Staffing Hours per Resident per Day
1.44516
Reported Total Nurse Staffing Hours per Resident per Day
5.31290
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02581
Expected CNA Staffing Hours per Resident per Day
2.44797
Expected LPN Staffing Hours per Resident per Day
0.63257
Expected RN Staffing Hours per Resident per Day
0.89421
Expected Total Nurse Staffing Hours per Resident per Day
3.97475
Adjusted CNA Staffing Hours per Resident per Day
3.87679
Adjusted LPN Staffing Hours per Resident per Day
0.59256
Adjusted RN Staffing Hours per Resident per Day
0.83021
Adjusted Total Nurse Staffing Hours per Resident per Day
5.38795
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-06-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2012-11-15
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
12.80000
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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