Life Care Center Of Kirkland - Kirkland Nursing Home

General Information

UPDATE
Federal Provider Number
505334
Provider Name
LIFE CARE CENTER OF KIRKLAND
Provider Address
10101 NORTHEAST 120TH STREET
KIRKLAND, WA 98034
Provider Phone Number
4258232323
Provider SSA County
160
Provider County Name
King
Ownership Type
For profit - Corporation
Number of Certified Beds
190
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKE VUE OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-05-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.70561
Reported LPN Staffing Hours per Resident per Day
0.80794
Reported RN Staffing Hours per Resident per Day
1.29953
Reported Licensed Staffing Hours per Resident per Day
2.10748
Reported Total Nurse Staffing Hours per Resident per Day
4.81308
Reported Physical Therapist Staffing Hours per Resident Per Day
0.45421
Expected CNA Staffing Hours per Resident per Day
2.67313
Expected LPN Staffing Hours per Resident per Day
0.72146
Expected RN Staffing Hours per Resident per Day
1.22518
Expected Total Nurse Staffing Hours per Resident per Day
4.61976
Adjusted CNA Staffing Hours per Resident per Day
2.48352
Adjusted LPN Staffing Hours per Resident per Day
0.92950
Adjusted RN Staffing Hours per Resident per Day
0.79254
Adjusted Total Nurse Staffing Hours per Resident per Day
4.19957
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-07-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-06-13
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-03-12
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
20
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
1
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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