Pacific Specialty & Rehab Care - Vancouver Nursing Home
General Information
UPDATEFederal Provider Number
505269
Provider Name
PACIFIC SPECIALTY & REHAB CARE
Provider Address
1015 NORTH GARRISON ROAD
VANCOUVER, WA 98664
VANCOUVER, WA 98664
Provider Phone Number
3606947501
Provider SSA County
50
Provider County Name
Clark
Ownership Type
For profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXTENDICARE HOMES, INC
Date First Approved to Provide Medicare and Medicaid services
1982-07-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.71852
Reported LPN Staffing Hours per Resident per Day
0.59506
Reported RN Staffing Hours per Resident per Day
1.36481
Reported Licensed Staffing Hours per Resident per Day
1.95988
Reported Total Nurse Staffing Hours per Resident per Day
4.67839
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07160
Expected CNA Staffing Hours per Resident per Day
2.51946
Expected LPN Staffing Hours per Resident per Day
0.84139
Expected RN Staffing Hours per Resident per Day
1.22294
Expected Total Nurse Staffing Hours per Resident per Day
4.58378
Adjusted CNA Staffing Hours per Resident per Day
2.64757
Adjusted LPN Staffing Hours per Resident per Day
0.58701
Adjusted RN Staffing Hours per Resident per Day
0.83388
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11410
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
15
Cycle 1 Health Deficiency Score
152
Cycle 1 Standard Survey Health Date
2014-11-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
152
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
148
Cycle 2 Standard Health Survey Date
2013-10-21
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
22
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
180
Cycle 3 Standard Health Survey Date
2012-12-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
180
Total Weighted Health Survey Score
155.33300
Number of Facility Reported Incidents
24
Number of Substantiated Complaints
18
Number of Fines
2
Total Amount of Fines in Dollars
2600
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Fort Vancouver Convalescent Center
8507 Northeast 8th Way |
VANCOUVER WA 98664 | 0.3 mile away
Avamere Rehabilitation Of Cascade Park
801 Southeast Park Crest Avenue |
VANCOUVER WA 98683 | 3.5 miles away
Kindred Transitional Care & Rehab Ctr Vancouver
400 East 33rd Street |
VANCOUVER WA 98663 | 3.9 miles away
Discovery Nursing & Rehab Of Vancouver
5220 Northeast Hazel Dell Avenue |
VANCOUVER WA 98663 | 4.3 miles away
Manorcare Health Services - Salmon Creek
2811 Ne 139th Street |
VANCOUVER WA 98686 | 6.8 miles away
Prestige Care & Rehabilitation - Camas
740 Ne Dallas Street |
CAMAS WA 98607 | 9.4 miles away
Victory Health & Rehab Of Battle Ground Llc
510 North Parkway |
BATTLE GROUND WA 98604 | 11.1 miles away
Reviews: Be the first to review this provider.
Share your experience with Pacific Specialty & Rehab Care. You can help others by writing a review.
