Leon Sullivan Health Care Center - Seattle Nursing Home

General Information

UPDATE
Federal Provider Number
505511
Provider Name
LEON SULLIVAN HEALTH CARE CENTER
Provider Address
2611 SOUTH DEARBORN
SEATTLE, WA 98144
Provider Phone Number
2063256700
Provider SSA County
160
Provider County Name
King
Ownership Type
Non profit - Corporation
Number of Certified Beds
165
Number of Residents in Certified Beds
143
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OPPORTUNITIES INDUSTRIALIZATION CENTER OF WASHINGTON
Date First Approved to Provide Medicare and Medicaid services
2003-06-11
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.51958
Reported LPN Staffing Hours per Resident per Day
0.68741
Reported RN Staffing Hours per Resident per Day
0.66294
Reported Licensed Staffing Hours per Resident per Day
1.35035
Reported Total Nurse Staffing Hours per Resident per Day
3.86993
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03007
Expected CNA Staffing Hours per Resident per Day
2.45138
Expected LPN Staffing Hours per Resident per Day
0.63962
Expected RN Staffing Hours per Resident per Day
0.90868
Expected Total Nurse Staffing Hours per Resident per Day
3.99969
Adjusted CNA Staffing Hours per Resident per Day
2.52196
Adjusted LPN Staffing Hours per Resident per Day
0.89201
Adjusted RN Staffing Hours per Resident per Day
0.54513
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90013
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-08-30
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
18
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
148
Cycle 3 Standard Health Survey Date
2012-05-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
148
Total Weighted Health Survey Score
110.00000
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
18
Number of Fines
1
Total Amount of Fines in Dollars
1170
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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