Life Care Center Of Mount Vernon - Mount Vernon Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505272
Provider Name
LIFE CARE CENTER OF MOUNT VERNON
Provider Address
2120 EAST DIVISION STREET
MOUNT VERNON, WA 98273
MOUNT VERNON, WA 98273
Provider Phone Number
(360) 424-4258
Provider SSA County
280
Provider County Name
Skagit
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MT. VERNON OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1982-12-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.21437
Reported LPN Staffing Hours per Resident per Day
0.99138
Reported RN Staffing Hours per Resident per Day
0.68506
Reported Licensed Staffing Hours per Resident per Day
1.67644
Reported Total Nurse Staffing Hours per Resident per Day
3.89081
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12874
Expected CNA Staffing Hours per Resident per Day
2.59445
Expected LPN Staffing Hours per Resident per Day
0.63443
Expected RN Staffing Hours per Resident per Day
1.00953
Expected Total Nurse Staffing Hours per Resident per Day
4.23840
Adjusted CNA Staffing Hours per Resident per Day
2.09424
Adjusted LPN Staffing Hours per Resident per Day
1.29699
Adjusted RN Staffing Hours per Resident per Day
0.50704
Adjusted Total Nurse Staffing Hours per Resident per Day
3.70032
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-06-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-06-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-03-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
93.33300
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
13
Number of Fines
1
Total Amount of Fines in Dollars
1105
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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