Life Care Center Of Skagit Val - Sedro Woolley Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505318
Provider Name
LIFE CARE CENTER OF SKAGIT VAL
Provider Address
1462 WEST STATE ROUTE 20
SEDRO WOOLLEY, WA 98284
SEDRO WOOLLEY, WA 98284
Provider Phone Number
(360) 856-6869
Provider SSA County
280
Provider County Name
Skagit
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SKAGIT VALLEY OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1988-05-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.18588
Reported LPN Staffing Hours per Resident per Day
0.65529
Reported RN Staffing Hours per Resident per Day
1.01353
Reported Licensed Staffing Hours per Resident per Day
1.66882
Reported Total Nurse Staffing Hours per Resident per Day
3.85470
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10412
Expected CNA Staffing Hours per Resident per Day
2.44153
Expected LPN Staffing Hours per Resident per Day
0.64275
Expected RN Staffing Hours per Resident per Day
1.12571
Expected Total Nurse Staffing Hours per Resident per Day
4.20999
Adjusted CNA Staffing Hours per Resident per Day
2.19678
Adjusted LPN Staffing Hours per Resident per Day
0.84619
Adjusted RN Staffing Hours per Resident per Day
0.67274
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69073
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-08-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-07-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
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
36
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
4
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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