Manor Care Health Services-spo - Spokane Nursing Home

General Information

UPDATE
Federal Provider Number
505322
Provider Name
MANOR CARE HEALTH SERVICES-SPO
Provider Address
NORTH 6025 ASSEMBLY
SPOKANE, WA 99205
Provider Phone Number
(509) 326-8282
Provider SSA County
310
Provider County Name
Spokane
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF SPOKANE WA LLC
Date First Approved to Provide Medicare and Medicaid services
1988-10-19
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
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.19854
Reported LPN Staffing Hours per Resident per Day
0.72573
Reported RN Staffing Hours per Resident per Day
0.80146
Reported Licensed Staffing Hours per Resident per Day
1.52718
Reported Total Nurse Staffing Hours per Resident per Day
3.72573
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08786
Expected CNA Staffing Hours per Resident per Day
2.46602
Expected LPN Staffing Hours per Resident per Day
0.68900
Expected RN Staffing Hours per Resident per Day
1.23570
Expected Total Nurse Staffing Hours per Resident per Day
4.39073
Adjusted CNA Staffing Hours per Resident per Day
2.18755
Adjusted LPN Staffing Hours per Resident per Day
0.87425
Adjusted RN Staffing Hours per Resident per Day
0.48462
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42040
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-06-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-09-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
40.66700
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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