Prestige Care & Rehabilitation - Camas - Camas Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505273
Provider Name
PRESTIGE CARE & REHABILITATION - CAMAS
Provider Address
740 NE DALLAS STREET
CAMAS, WA 98607
CAMAS, WA 98607
Provider Phone Number
(360) 834-5055
Provider SSA County
50
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
83
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE CENTER CAMAS, INC
Date First Approved to Provide Medicare and Medicaid services
1983-04-01
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
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.69923
Reported LPN Staffing Hours per Resident per Day
0.48692
Reported RN Staffing Hours per Resident per Day
1.45692
Reported Licensed Staffing Hours per Resident per Day
1.94385
Reported Total Nurse Staffing Hours per Resident per Day
4.64307
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18538
Expected CNA Staffing Hours per Resident per Day
2.53409
Expected LPN Staffing Hours per Resident per Day
0.67389
Expected RN Staffing Hours per Resident per Day
1.22604
Expected Total Nurse Staffing Hours per Resident per Day
4.43402
Adjusted CNA Staffing Hours per Resident per Day
2.61360
Adjusted LPN Staffing Hours per Resident per Day
0.59972
Adjusted RN Staffing Hours per Resident per Day
0.88791
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22094
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
2
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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