North Central Care And Rehabilitation - Spokane Nursing Home
General Information
UPDATEFederal Provider Number
505441
Provider Name
NORTH CENTRAL CARE AND REHABILITATION
Provider Address
N 1812 WALL STREET
SPOKANE, WA 99205
SPOKANE, WA 99205
Provider Phone Number
(509) 328-6030
Provider SSA County
310
Provider County Name
Spokane
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTH CENTRAL CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-03-01
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
1
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
3.49847
Reported LPN Staffing Hours per Resident per Day
0.53673
Reported RN Staffing Hours per Resident per Day
1.04541
Reported Licensed Staffing Hours per Resident per Day
1.58214
Reported Total Nurse Staffing Hours per Resident per Day
5.08061
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11684
Expected CNA Staffing Hours per Resident per Day
2.70706
Expected LPN Staffing Hours per Resident per Day
0.71199
Expected RN Staffing Hours per Resident per Day
1.05926
Expected Total Nurse Staffing Hours per Resident per Day
4.47832
Adjusted CNA Staffing Hours per Resident per Day
3.17104
Adjusted LPN Staffing Hours per Resident per Day
0.62569
Adjusted RN Staffing Hours per Resident per Day
0.73743
Adjusted Total Nurse Staffing Hours per Resident per Day
4.57302
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-09-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-10-23
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
2012-09-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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