Washington Nursing Homes >> Lacey Nursing Homes >> Manorcare Health Services - Lacey

Manorcare Health Services - Lacey - Lacey Nursing Home

General Information

UPDATE
Federal Provider Number
505525
Provider Name
MANORCARE HEALTH SERVICES - LACEY
Provider Address
4524 INTELCO LOOP SE
LACEY, WA 98503
Provider Phone Number
3604919890
Provider SSA County
330
Provider County Name
Thurston
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF LACEY WA LLC
Date First Approved to Provide Medicare and Medicaid services
2012-07-25
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
2
Health Inspection Rating Footnote
QM Rating
5
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
2.23827
Reported LPN Staffing Hours per Resident per Day
1.14815
Reported RN Staffing Hours per Resident per Day
0.79198
Reported Licensed Staffing Hours per Resident per Day
1.94012
Reported Total Nurse Staffing Hours per Resident per Day
4.17840
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16667
Expected CNA Staffing Hours per Resident per Day
2.54924
Expected LPN Staffing Hours per Resident per Day
0.71709
Expected RN Staffing Hours per Resident per Day
1.31584
Expected Total Nurse Staffing Hours per Resident per Day
4.58217
Adjusted CNA Staffing Hours per Resident per Day
2.15438
Adjusted LPN Staffing Hours per Resident per Day
1.32893
Adjusted RN Staffing Hours per Resident per Day
0.44973
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67571
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-12-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
22
Cycle 3 Number of Standard Health Deficiencies
20
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
271
Cycle 3 Standard Health Survey Date
2013-02-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
271
Total Weighted Health Survey Score
83.83300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
975
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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