Linden Grove Health Care Ctr - Puyallup Nursing Home
General Information
UPDATEFederal Provider Number
505485
Provider Name
LINDEN GROVE HEALTH CARE CTR
Provider Address
400 - 29TH STREET NORTHEAST
PUYALLUP, WA 98373
PUYALLUP, WA 98373
Provider Phone Number
(253) 840-4400
Provider SSA County
260
Provider County Name
Pierce
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
REVERA DELAWARE LLC
Date First Approved to Provide Medicare and Medicaid services
1993-08-04
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.40213
Reported LPN Staffing Hours per Resident per Day
1.13245
Reported RN Staffing Hours per Resident per Day
0.40691
Reported Licensed Staffing Hours per Resident per Day
1.53936
Reported Total Nurse Staffing Hours per Resident per Day
3.94149
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19309
Expected CNA Staffing Hours per Resident per Day
2.38856
Expected LPN Staffing Hours per Resident per Day
0.67022
Expected RN Staffing Hours per Resident per Day
1.18335
Expected Total Nurse Staffing Hours per Resident per Day
4.24213
Adjusted CNA Staffing Hours per Resident per Day
2.46764
Adjusted LPN Staffing Hours per Resident per Day
1.40243
Adjusted RN Staffing Hours per Resident per Day
0.25694
Adjusted Total Nurse Staffing Hours per Resident per Day
3.74523
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-05-23
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
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-06-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
47.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
8190
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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