Washington Nursing Homes >> Gig Harbor Nursing Homes >> Manor Care Of Gig Harbor Wa, Llc

Manor Care Of Gig Harbor Wa, Llc - Gig Harbor Nursing Home

General Information

UPDATE
Federal Provider Number
505436
Provider Name
MANOR CARE OF GIG HARBOR WA, LLC
Provider Address
3309 45TH STREET COURT NORTHWEST
GIG HARBOR, WA 98335
Provider Phone Number
2538588688
Provider SSA County
260
Provider County Name
Pierce
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF GIG HARBOR WA LLC
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
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
2.56600
Reported LPN Staffing Hours per Resident per Day
0.60750
Reported RN Staffing Hours per Resident per Day
0.81300
Reported Licensed Staffing Hours per Resident per Day
1.42050
Reported Total Nurse Staffing Hours per Resident per Day
3.98650
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09650
Expected CNA Staffing Hours per Resident per Day
2.36439
Expected LPN Staffing Hours per Resident per Day
0.63406
Expected RN Staffing Hours per Resident per Day
1.05704
Expected Total Nurse Staffing Hours per Resident per Day
4.05548
Adjusted CNA Staffing Hours per Resident per Day
2.66293
Adjusted LPN Staffing Hours per Resident per Day
0.79523
Adjusted RN Staffing Hours per Resident per Day
0.57469
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96233
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-05-17
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
2
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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