Life Care Ctr Of Coos Bay - Coos Bay Nursing Home
General Information
UPDATEFederal Provider Number
385157
Provider Name
LIFE CARE CTR OF COOS BAY
Provider Address
2890 OCEAN BLVD
COOS BAY, OR 97420
COOS BAY, OR 97420
Provider Phone Number
(541) 267-5433
Provider SSA County
50
Provider County Name
Coos
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIFE CARE CENTERS OF AMERICA, INC.
Date First Approved to Provide Medicare and Medicaid services
1983-11-03
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2
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
2.77340
Reported LPN Staffing Hours per Resident per Day
0.50426
Reported RN Staffing Hours per Resident per Day
1.15319
Reported Licensed Staffing Hours per Resident per Day
1.65745
Reported Total Nurse Staffing Hours per Resident per Day
4.43085
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02872
Expected CNA Staffing Hours per Resident per Day
2.63346
Expected LPN Staffing Hours per Resident per Day
0.74990
Expected RN Staffing Hours per Resident per Day
1.25822
Expected Total Nurse Staffing Hours per Resident per Day
4.64158
Adjusted CNA Staffing Hours per Resident per Day
2.58408
Adjusted LPN Staffing Hours per Resident per Day
0.55812
Adjusted RN Staffing Hours per Resident per Day
0.68483
Adjusted Total Nurse Staffing Hours per Resident per Day
3.84789
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2014-07-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
128
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-02-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2011-11-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
84.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
3
Total Amount of Fines in Dollars
35685
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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