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Mt Baker Care Center - Bellingham Nursing Home

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Federal Provider Number
505376
Provider Name
MT BAKER CARE CENTER
Provider Address
2905 CONNELLY AVENUE
BELLINGHAM, WA 98225
Provider Phone Number
(360) 734-4181
Provider SSA County
360
Provider County Name
Whatcom
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
70
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLAY & DAVIS MT BAKER DEVELOPMENT L L C
Date First Approved to Provide Medicare and Medicaid services
1991-04-01
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
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
2.75755
Reported LPN Staffing Hours per Resident per Day
0.93679
Reported RN Staffing Hours per Resident per Day
0.92642
Reported Licensed Staffing Hours per Resident per Day
1.86321
Reported Total Nurse Staffing Hours per Resident per Day
4.62076
Reported Physical Therapist Staffing Hours per Resident Per Day
0.33396
Expected CNA Staffing Hours per Resident per Day
2.42265
Expected LPN Staffing Hours per Resident per Day
0.57163
Expected RN Staffing Hours per Resident per Day
1.02602
Expected Total Nurse Staffing Hours per Resident per Day
4.02030
Adjusted CNA Staffing Hours per Resident per Day
2.79289
Adjusted LPN Staffing Hours per Resident per Day
1.36021
Adjusted RN Staffing Hours per Resident per Day
0.67467
Adjusted Total Nurse Staffing Hours per Resident per Day
4.63294
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-03-07
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
12
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-11-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
44.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
6500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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