Marian Estates - Sublimity Nursing Home

General Information

UPDATE
Federal Provider Number
385240
Provider Name
MARIAN ESTATES
Provider Address
390 SE CHURCH STREET
SUBLIMITY, OR 97385
Provider Phone Number
(503) 769-3499
Provider SSA County
230
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
214
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ERNMAUR INC
Date First Approved to Provide Medicare and Medicaid services
1994-02-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.96269
Reported LPN Staffing Hours per Resident per Day
0.93955
Reported RN Staffing Hours per Resident per Day
0.50075
Reported Licensed Staffing Hours per Resident per Day
1.44030
Reported Total Nurse Staffing Hours per Resident per Day
4.40299
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13134
Expected CNA Staffing Hours per Resident per Day
2.49965
Expected LPN Staffing Hours per Resident per Day
0.68940
Expected RN Staffing Hours per Resident per Day
1.07613
Expected Total Nurse Staffing Hours per Resident per Day
4.26518
Adjusted CNA Staffing Hours per Resident per Day
2.90822
Adjusted LPN Staffing Hours per Resident per Day
1.13117
Adjusted RN Staffing Hours per Resident per Day
0.34769
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16114
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-12-22
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
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-09-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
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
2012-04-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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