Park Ridge Care Center - Seattle Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505009
Provider Name
PARK RIDGE CARE CENTER
Provider Address
1250 NORTHEAST 145TH STREET
SEATTLE, WA 98155
SEATTLE, WA 98155
Provider Phone Number
(206) 363-5856
Provider SSA County
160
Provider County Name
King
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHWEST CARE-SHORELINE, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
3.15529
Reported LPN Staffing Hours per Resident per Day
0.73606
Reported RN Staffing Hours per Resident per Day
1.15288
Reported Licensed Staffing Hours per Resident per Day
1.88894
Reported Total Nurse Staffing Hours per Resident per Day
5.04423
Reported Physical Therapist Staffing Hours per Resident Per Day
0.36202
Expected CNA Staffing Hours per Resident per Day
2.61791
Expected LPN Staffing Hours per Resident per Day
0.72868
Expected RN Staffing Hours per Resident per Day
1.30966
Expected Total Nurse Staffing Hours per Resident per Day
4.65626
Adjusted CNA Staffing Hours per Resident per Day
2.95737
Adjusted LPN Staffing Hours per Resident per Day
0.83840
Adjusted RN Staffing Hours per Resident per Day
0.65775
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36677
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-03-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-04-08
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
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-12-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
6.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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