Mission Healthcare At Bellevue - Bellevue Nursing Home

General Information

UPDATE
Federal Provider Number
505500
Provider Name
MISSION HEALTHCARE AT BELLEVUE
Provider Address
2424 156TH AVENUE NORTHEAST
BELLEVUE, WA 98007
Provider Phone Number
4256411166
Provider SSA County
160
Provider County Name
King
Ownership Type
For profit - Partnership
Number of Certified Beds
129
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MISSION HEALTHCARE AT BELLEVUE JOINT VENTURE
Date First Approved to Provide Medicare and Medicaid services
1997-01-22
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
3.50000
Reported LPN Staffing Hours per Resident per Day
0.69760
Reported RN Staffing Hours per Resident per Day
0.93462
Reported Licensed Staffing Hours per Resident per Day
1.63221
Reported Total Nurse Staffing Hours per Resident per Day
5.13222
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21346
Expected CNA Staffing Hours per Resident per Day
2.58820
Expected LPN Staffing Hours per Resident per Day
0.65767
Expected RN Staffing Hours per Resident per Day
1.15295
Expected Total Nurse Staffing Hours per Resident per Day
4.39881
Adjusted CNA Staffing Hours per Resident per Day
3.31812
Adjusted LPN Staffing Hours per Resident per Day
0.88040
Adjusted RN Staffing Hours per Resident per Day
0.60571
Adjusted Total Nurse Staffing Hours per Resident per Day
4.70297
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-06-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
32
Cycle 2 Standard Health Survey Date
2013-06-28
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
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
2012-03-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
20.66700
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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