Porthaven Healthcare Center - Portland Nursing Home
General Information
UPDATEFederal Provider Number
385045
Provider Name
PORTHAVEN HEALTHCARE CENTER
Provider Address
5330 NE PRESCOTT STREET
PORTLAND, OR 97218
PORTLAND, OR 97218
Provider Phone Number
(503) 288-6585
Provider SSA County
250
Provider County Name
Multnomah
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE CENTER (PORTHAVEN), 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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
3.00068
Reported LPN Staffing Hours per Resident per Day
0.23836
Reported RN Staffing Hours per Resident per Day
1.03082
Reported Licensed Staffing Hours per Resident per Day
1.26918
Reported Total Nurse Staffing Hours per Resident per Day
4.26986
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15479
Expected CNA Staffing Hours per Resident per Day
2.56940
Expected LPN Staffing Hours per Resident per Day
0.71775
Expected RN Staffing Hours per Resident per Day
1.16281
Expected Total Nurse Staffing Hours per Resident per Day
4.44997
Adjusted CNA Staffing Hours per Resident per Day
2.86556
Adjusted LPN Staffing Hours per Resident per Day
0.27564
Adjusted RN Staffing Hours per Resident per Day
0.66239
Adjusted Total Nurse Staffing Hours per Resident per Day
3.86775
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-03-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
108
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
2015
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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