Maryville Nursing Home - Beaverton Nursing Home
General Information
UPDATEFederal Provider Number
385166
Provider Name
MARYVILLE NURSING HOME
Provider Address
14645 SW FARMINGTON ROAD
BEAVERTON, OR 97007
BEAVERTON, OR 97007
Provider Phone Number
5036438626
Provider SSA County
330
Provider County Name
Washington
Ownership Type
Non profit - Corporation
Number of Certified Beds
155
Number of Residents in Certified Beds
138
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SISTERS OF ST. MARY OF OREGON - MARYVILLE CORPORATION
Date First Approved to Provide Medicare and Medicaid services
1985-02-22
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
3.27174
Reported LPN Staffing Hours per Resident per Day
0.46014
Reported RN Staffing Hours per Resident per Day
0.91920
Reported Licensed Staffing Hours per Resident per Day
1.37935
Reported Total Nurse Staffing Hours per Resident per Day
4.65108
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16558
Expected CNA Staffing Hours per Resident per Day
2.62702
Expected LPN Staffing Hours per Resident per Day
0.66491
Expected RN Staffing Hours per Resident per Day
1.06568
Expected Total Nurse Staffing Hours per Resident per Day
4.35761
Adjusted CNA Staffing Hours per Resident per Day
3.05588
Adjusted LPN Staffing Hours per Resident per Day
0.57439
Adjusted RN Staffing Hours per Resident per Day
0.64450
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30237
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-03-31
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
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2012-09-06
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
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-04-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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
Nursiong Homes Nearby
Avamere Rehabilitation Of Beaverton
11850 Sw Allen Blvd. |
BEAVERTON OR 97008 | 1.6 miles away
Pacific Health And Rehabilitation
14145 Sw 105th Street |
TIGARD OR 97224 | 5.1 miles away
Avamere Rehabilitation Of King City
16485 Sw Pacific Highway |
TIGARD OR 97224 | 6.1 miles away
Empres Hillsboro Health And Rehabilitation Center
1778 Ne Cornell Road |
HILLSBORO OR 97124 | 7.3 miles away
Avamere Rehabilitation Of Hillsboro
650 Se Oak Street |
HILLSBORO OR 97123 | 7.7 miles away
Marquis Tualatin Post Acute Rehab
19945 Sw Boones Ferry Road |
TUALATIN OR 97062 | 8.1 miles away
Forest Grove Rehabilitation And Care Center
3900 Pacific Avenue |
FOREST GROVE OR 97116 | 12.4 miles away
Marquis Forest Grove Post Acute Rehab
3300 19th Avenue |
FOREST GROVE OR 97116 | 12.9 miles away
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