Park Royal Health & Rehab Center - Longview Nursing Home
General Information
UPDATEFederal Provider Number
505288
Provider Name
PARK ROYAL HEALTH & REHAB CENTER
Provider Address
910 16TH AVENUE
LONGVIEW, WA 98632
LONGVIEW, WA 98632
Provider Phone Number
3604232890
Provider SSA County
70
Provider County Name
Cowlitz
Ownership Type
For profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVERGREEN AT PARK ROYAL II, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1984-05-21
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
2.33333
Reported LPN Staffing Hours per Resident per Day
0.77051
Reported RN Staffing Hours per Resident per Day
1.25769
Reported Licensed Staffing Hours per Resident per Day
2.02821
Reported Total Nurse Staffing Hours per Resident per Day
4.36153
Reported Physical Therapist Staffing Hours per Resident Per Day
0.40000
Expected CNA Staffing Hours per Resident per Day
2.61507
Expected LPN Staffing Hours per Resident per Day
0.54140
Expected RN Staffing Hours per Resident per Day
0.76851
Expected Total Nurse Staffing Hours per Resident per Day
3.92498
Adjusted CNA Staffing Hours per Resident per Day
2.18935
Adjusted LPN Staffing Hours per Resident per Day
1.18124
Adjusted RN Staffing Hours per Resident per Day
1.22281
Adjusted Total Nurse Staffing Hours per Resident per Day
4.47923
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-04-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-03-22
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
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-02-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
0
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
Nursiong Homes Nearby
Americana Health & Rehab Ctr
917 7th Avenue |
LONGVIEW WA 98632 | 0.5 mile away
Frontier Rehab & Extended Care
1500 3rd Avenue |
LONGVIEW WA 98632 | 1 mile away
Beacon Hill Rehabilitation
128 Beacon Hill Drive |
LONGVIEW WA 98632 | 3.1 miles away
Woodland Convalescent Center
310 Fourth Street |
WOODLAND WA 98674 | 18.4 miles away
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