Washington Nursing Homes >> Seattle Nursing Homes >> Mirabella Seattle

Mirabella Seattle - Seattle Nursing Home

General Information

UPDATE
Federal Provider Number
505520
Provider Name
MIRABELLA SEATTLE
Provider Address
116 FAIRVIEW AVENUE N
SEATTLE, WA 98109
Provider Phone Number
2062541452
Provider SSA County
160
Provider County Name
King
Ownership Type
Non profit - Corporation
Number of Certified Beds
42
Number of Residents in Certified Beds
30
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
MIRABELLA
Date First Approved to Provide Medicare and Medicaid services
2009-04-28
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
3.44500
Reported LPN Staffing Hours per Resident per Day
0.95333
Reported RN Staffing Hours per Resident per Day
1.63667
Reported Licensed Staffing Hours per Resident per Day
2.59000
Reported Total Nurse Staffing Hours per Resident per Day
6.03500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.35167
Expected CNA Staffing Hours per Resident per Day
2.22853
Expected LPN Staffing Hours per Resident per Day
0.57406
Expected RN Staffing Hours per Resident per Day
0.86625
Expected Total Nurse Staffing Hours per Resident per Day
3.66884
Adjusted CNA Staffing Hours per Resident per Day
3.79308
Adjusted LPN Staffing Hours per Resident per Day
1.37837
Adjusted RN Staffing Hours per Resident per Day
1.41174
Adjusted Total Nurse Staffing Hours per Resident per Day
6.63056
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-03-25
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-02-28
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
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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