Life Care Center Of Federal Way - Federal Way Nursing Home
General Information
UPDATEFederal Provider Number
505188
Provider Name
LIFE CARE CENTER OF FEDERAL WAY
Provider Address
1045 SOUTH 308TH STREET
FEDERAL WAY, WA 98003
FEDERAL WAY, WA 98003
Provider Phone Number
2539462273
Provider SSA County
160
Provider County Name
King
Ownership Type
For profit - Corporation
Number of Certified Beds
157
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CONSOLIDATED RESOURCES HEALTH CARE FUND I, L.P.
Date First Approved to Provide Medicare and Medicaid services
1968-09-17
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
5
QM Rating Footnote
Staffing Rating
3
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
2.18426
Reported LPN Staffing Hours per Resident per Day
0.57407
Reported RN Staffing Hours per Resident per Day
0.93519
Reported Licensed Staffing Hours per Resident per Day
1.50926
Reported Total Nurse Staffing Hours per Resident per Day
3.69352
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13426
Expected CNA Staffing Hours per Resident per Day
2.52458
Expected LPN Staffing Hours per Resident per Day
0.64071
Expected RN Staffing Hours per Resident per Day
1.02502
Expected Total Nurse Staffing Hours per Resident per Day
4.19032
Adjusted CNA Staffing Hours per Resident per Day
2.12293
Adjusted LPN Staffing Hours per Resident per Day
0.74367
Adjusted RN Staffing Hours per Resident per Day
0.68172
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55300
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-08-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-10-15
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
17
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2012-06-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
124
Total Weighted Health Survey Score
76.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
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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