Northwoods Lodge - Silverdale Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505484
Provider Name
NORTHWOODS LODGE
Provider Address
2321 SCHOLD PLACE NORTHWEST
SILVERDALE, WA 98383
SILVERDALE, WA 98383
Provider Phone Number
(360) 698-3930
Provider SSA County
170
Provider County Name
Kitsap
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
47
Number of Residents in Certified Beds
42
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
SANTE SNF OP CO, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
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
3.33214
Reported LPN Staffing Hours per Resident per Day
0.58810
Reported RN Staffing Hours per Resident per Day
2.67024
Reported Licensed Staffing Hours per Resident per Day
3.25833
Reported Total Nurse Staffing Hours per Resident per Day
6.59048
Reported Physical Therapist Staffing Hours per Resident Per Day
0.44048
Expected CNA Staffing Hours per Resident per Day
2.34412
Expected LPN Staffing Hours per Resident per Day
0.82836
Expected RN Staffing Hours per Resident per Day
1.86886
Expected Total Nurse Staffing Hours per Resident per Day
5.04134
Adjusted CNA Staffing Hours per Resident per Day
3.48791
Adjusted LPN Staffing Hours per Resident per Day
0.58926
Adjusted RN Staffing Hours per Resident per Day
1.06761
Adjusted Total Nurse Staffing Hours per Resident per Day
5.26955
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
28
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-12
Cycle 2 Number of Health Revisits
0
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
2012-10-10
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
14.00000
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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