Life Care Center Of Port Orchard - Port Orchard Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505210
Provider Name
LIFE CARE CENTER OF PORT ORCHARD
Provider Address
2031 POTTERY AVENUE
PORT ORCHARD, WA 98366
PORT ORCHARD, WA 98366
Provider Phone Number
(360) 876-8035
Provider SSA County
170
Provider County Name
Kitsap
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
125
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PORT ORCHARD OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1979-08-01
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
2.50365
Reported LPN Staffing Hours per Resident per Day
0.61927
Reported RN Staffing Hours per Resident per Day
1.27813
Reported Licensed Staffing Hours per Resident per Day
1.89740
Reported Total Nurse Staffing Hours per Resident per Day
4.40105
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15781
Expected CNA Staffing Hours per Resident per Day
2.47401
Expected LPN Staffing Hours per Resident per Day
0.64624
Expected RN Staffing Hours per Resident per Day
0.98130
Expected Total Nurse Staffing Hours per Resident per Day
4.10155
Adjusted CNA Staffing Hours per Resident per Day
2.48309
Adjusted LPN Staffing Hours per Resident per Day
0.79536
Adjusted RN Staffing Hours per Resident per Day
0.97322
Adjusted Total Nurse Staffing Hours per Resident per Day
4.32524
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-09-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-09-20
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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