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Manorcare Health Services - Salmon Creek - Vancouver Nursing Home

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Federal Provider Number
505522
Provider Name
MANORCARE HEALTH SERVICES - SALMON CREEK
Provider Address
2811 NE 139TH STREET
VANCOUVER, WA 98686
Provider Phone Number
(360) 574-5247
Provider SSA County
50
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF SALMON CREEK WA, LLC
Date First Approved to Provide Medicare and Medicaid services
2011-10-26
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
2
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
1.76796
Reported LPN Staffing Hours per Resident per Day
0.73350
Reported RN Staffing Hours per Resident per Day
1.10340
Reported Licensed Staffing Hours per Resident per Day
1.83689
Reported Total Nurse Staffing Hours per Resident per Day
3.60486
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21602
Expected CNA Staffing Hours per Resident per Day
2.42076
Expected LPN Staffing Hours per Resident per Day
0.75987
Expected RN Staffing Hours per Resident per Day
1.52235
Expected Total Nurse Staffing Hours per Resident per Day
4.70298
Adjusted CNA Staffing Hours per Resident per Day
1.79201
Adjusted LPN Staffing Hours per Resident per Day
0.80120
Adjusted RN Staffing Hours per Resident per Day
0.54157
Adjusted Total Nurse Staffing Hours per Resident per Day
3.08971
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-10-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-10-19
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
3
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-11-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
5
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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