Prestige Care And Rehabilitation - Menlo Park - Portland Nursing Home

General Information

UPDATE
Federal Provider Number
385044
Provider Name
PRESTIGE CARE AND REHABILITATION - MENLO PARK
Provider Address
745 NE 122ND AVENUE
PORTLAND, OR 97230
Provider Phone Number
(503) 252-0241
Provider SSA County
250
Provider County Name
Multnomah
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
83
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE CENTER MENLO PARK 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
4
Overall Rating Footnote
Health Inspection Rating
2
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
2.68900
Reported LPN Staffing Hours per Resident per Day
0.60700
Reported RN Staffing Hours per Resident per Day
1.04700
Reported Licensed Staffing Hours per Resident per Day
1.65400
Reported Total Nurse Staffing Hours per Resident per Day
4.34300
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17000
Expected CNA Staffing Hours per Resident per Day
2.16268
Expected LPN Staffing Hours per Resident per Day
0.60849
Expected RN Staffing Hours per Resident per Day
1.13953
Expected Total Nurse Staffing Hours per Resident per Day
3.91070
Adjusted CNA Staffing Hours per Resident per Day
3.05085
Adjusted LPN Staffing Hours per Resident per Day
0.82797
Adjusted RN Staffing Hours per Resident per Day
0.68652
Adjusted Total Nurse Staffing Hours per Resident per Day
4.47649
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-05-09
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
15
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2012-10-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2011-05-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
975
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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