Nisqually Valley Care Center - Mckenna Nursing Home

General Information

UPDATE
Federal Provider Number
505459
Provider Name
NISQUALLY VALLEY CARE CENTER
Provider Address
P O BOX 370
MCKENNA, WA 98558
Provider Phone Number
3604583801
Provider SSA County
260
Provider County Name
Pierce
Ownership Type
For profit - Corporation
Number of Certified Beds
63
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUNDCARE, 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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.31667
Reported LPN Staffing Hours per Resident per Day
0.77333
Reported RN Staffing Hours per Resident per Day
0.82333
Reported Licensed Staffing Hours per Resident per Day
1.59667
Reported Total Nurse Staffing Hours per Resident per Day
3.91333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02222
Expected CNA Staffing Hours per Resident per Day
2.50721
Expected LPN Staffing Hours per Resident per Day
0.67296
Expected RN Staffing Hours per Resident per Day
1.03040
Expected Total Nurse Staffing Hours per Resident per Day
4.21057
Adjusted CNA Staffing Hours per Resident per Day
2.26722
Adjusted LPN Staffing Hours per Resident per Day
0.95380
Adjusted RN Staffing Hours per Resident per Day
0.59704
Adjusted Total Nurse Staffing Hours per Resident per Day
3.74635
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
12
Cycle 1 Standard Survey Health Date
2014-04-25
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
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-03-19
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
17
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2012-04-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
1
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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