Pearl At Kruse Way, The - Lake Oswego Nursing Home
General Information
UPDATEFederal Provider Number
385271
Provider Name
PEARL AT KRUSE WAY, THE
Provider Address
4550 CARMAN DRIVE
LAKE OSWEGO, OR 97035
LAKE OSWEGO, OR 97035
Provider Phone Number
(503) 675-6055
Provider SSA County
20
Provider County Name
Clackamas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
45
Number of Residents in Certified Beds
44
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
AVAMERE LAKE OSWEGO OPERATIONS INVESTORS, LLC
Date First Approved to Provide Medicare and Medicaid services
2006-01-25
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
3.17500
Reported LPN Staffing Hours per Resident per Day
1.12159
Reported RN Staffing Hours per Resident per Day
1.42159
Reported Licensed Staffing Hours per Resident per Day
2.54318
Reported Total Nurse Staffing Hours per Resident per Day
5.71818
Reported Physical Therapist Staffing Hours per Resident Per Day
0.50795
Expected CNA Staffing Hours per Resident per Day
2.48151
Expected LPN Staffing Hours per Resident per Day
0.86042
Expected RN Staffing Hours per Resident per Day
1.91222
Expected Total Nurse Staffing Hours per Resident per Day
5.25415
Adjusted CNA Staffing Hours per Resident per Day
3.13942
Adjusted LPN Staffing Hours per Resident per Day
1.08193
Adjusted RN Staffing Hours per Resident per Day
0.55549
Adjusted Total Nurse Staffing Hours per Resident per Day
4.38690
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-10-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
22.66700
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
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