Oregon Nursing Homes >> Portland Nursing Homes >> Portland Health & Rehabilitation Center

Portland Health & Rehabilitation Center - Portland Nursing Home

General Information

UPDATE
Federal Provider Number
385228
Provider Name
PORTLAND HEALTH & REHABILITATION CENTER
Provider Address
12441 SE STARK STREET
PORTLAND, OR 97233
Provider Phone Number
(503) 255-7040
Provider SSA County
250
Provider County Name
Multnomah
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVERGREEN OREGON HEALTHCARE PORTLAND, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
Continuing Care Retirement Community
Y
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
2
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
3.40000
Reported LPN Staffing Hours per Resident per Day
0.35000
Reported RN Staffing Hours per Resident per Day
1.12075
Reported Licensed Staffing Hours per Resident per Day
1.47075
Reported Total Nurse Staffing Hours per Resident per Day
4.87075
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11604
Expected CNA Staffing Hours per Resident per Day
2.43338
Expected LPN Staffing Hours per Resident per Day
0.67547
Expected RN Staffing Hours per Resident per Day
1.16059
Expected Total Nurse Staffing Hours per Resident per Day
4.26943
Adjusted CNA Staffing Hours per Resident per Day
3.42840
Adjusted LPN Staffing Hours per Resident per Day
0.43007
Adjusted RN Staffing Hours per Resident per Day
0.72155
Adjusted Total Nurse Staffing Hours per Resident per Day
4.59862
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-04-02
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
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
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