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Manor Care Health Services - Lynnwood Nursing Home

General Information

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Federal Provider Number
505319
Provider Name
MANOR CARE HEALTH SERVICES
Provider Address
3701 188TH STREET SOUTHWEST
LYNNWOOD, WA 98037
Provider Phone Number
(425) 775-9222
Provider SSA County
300
Provider County Name
Snohomish
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
113
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF LYNWOOD WA LLC
Date First Approved to Provide Medicare and Medicaid services
1988-05-04
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
2.40385
Reported LPN Staffing Hours per Resident per Day
0.64135
Reported RN Staffing Hours per Resident per Day
1.84663
Reported Licensed Staffing Hours per Resident per Day
2.48798
Reported Total Nurse Staffing Hours per Resident per Day
4.89183
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15913
Expected CNA Staffing Hours per Resident per Day
2.51608
Expected LPN Staffing Hours per Resident per Day
0.67806
Expected RN Staffing Hours per Resident per Day
1.24163
Expected Total Nurse Staffing Hours per Resident per Day
4.43578
Adjusted CNA Staffing Hours per Resident per Day
2.34425
Adjusted LPN Staffing Hours per Resident per Day
0.78507
Adjusted RN Staffing Hours per Resident per Day
1.11128
Adjusted Total Nurse Staffing Hours per Resident per Day
4.44533
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-06-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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