Oregon Nursing Homes >> Portland Nursing Homes >> Mirabella Portland

Mirabella Portland - Portland Nursing Home

General Information

UPDATE
Federal Provider Number
385274
Provider Name
MIRABELLA PORTLAND
Provider Address
3550 SW BOND AVE
PORTLAND, OR 97239
Provider Phone Number
(503) 245-4742
Provider SSA County
250
Provider County Name
Multnomah
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
44
Number of Residents in Certified Beds
41
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
MIRABELLA AT SOUTH WATERFRONT
Date First Approved to Provide Medicare and Medicaid services
2011-02-03
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.13415
Reported LPN Staffing Hours per Resident per Day
0.09756
Reported RN Staffing Hours per Resident per Day
1.53293
Reported Licensed Staffing Hours per Resident per Day
1.63049
Reported Total Nurse Staffing Hours per Resident per Day
4.76464
Reported Physical Therapist Staffing Hours per Resident Per Day
0.50122
Expected CNA Staffing Hours per Resident per Day
2.29493
Expected LPN Staffing Hours per Resident per Day
0.68262
Expected RN Staffing Hours per Resident per Day
1.26457
Expected Total Nurse Staffing Hours per Resident per Day
4.24212
Adjusted CNA Staffing Hours per Resident per Day
3.35098
Adjusted LPN Staffing Hours per Resident per Day
0.11862
Adjusted RN Staffing Hours per Resident per Day
0.90576
Adjusted Total Nurse Staffing Hours per Resident per Day
4.52740
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-09-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-04-26
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
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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