Mountain View Rehabilitation And Care Center - Marysville Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505407
Provider Name
MOUNTAIN VIEW REHABILITATION AND CARE CENTER
Provider Address
5925 47TH AVENUE NE
MARYSVILLE, WA 98270
MARYSVILLE, WA 98270
Provider Phone Number
(360) 659-1259
Provider SSA County
300
Provider County Name
Snohomish
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
82
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALLEN CREEK HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.48714
Reported LPN Staffing Hours per Resident per Day
0.40857
Reported RN Staffing Hours per Resident per Day
1.28143
Reported Licensed Staffing Hours per Resident per Day
1.69000
Reported Total Nurse Staffing Hours per Resident per Day
4.17714
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12500
Expected CNA Staffing Hours per Resident per Day
2.35293
Expected LPN Staffing Hours per Resident per Day
0.58226
Expected RN Staffing Hours per Resident per Day
0.93966
Expected Total Nurse Staffing Hours per Resident per Day
3.87485
Adjusted CNA Staffing Hours per Resident per Day
2.59366
Adjusted LPN Staffing Hours per Resident per Day
0.58241
Adjusted RN Staffing Hours per Resident per Day
1.01897
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34537
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-01-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-02-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-12-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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