Prestige Care & Rehabilitation - Pinewood Terrace - Colville Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505275
Provider Name
PRESTIGE CARE & REHABILITATION - PINEWOOD TERRACE
Provider Address
1000 EAST ELEP STREET
COLVILLE, WA 99114
COLVILLE, WA 99114
Provider Phone Number
(509) 684-2573
Provider SSA County
320
Provider County Name
Stevens
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE CENTER COLVILLE INC.
Date First Approved to Provide Medicare and Medicaid services
1983-09-01
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
3
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
2.70192
Reported LPN Staffing Hours per Resident per Day
0.46538
Reported RN Staffing Hours per Resident per Day
0.71218
Reported Licensed Staffing Hours per Resident per Day
1.17756
Reported Total Nurse Staffing Hours per Resident per Day
3.87948
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07244
Expected CNA Staffing Hours per Resident per Day
2.54181
Expected LPN Staffing Hours per Resident per Day
0.59344
Expected RN Staffing Hours per Resident per Day
0.96791
Expected Total Nurse Staffing Hours per Resident per Day
4.10316
Adjusted CNA Staffing Hours per Resident per Day
2.60826
Adjusted LPN Staffing Hours per Resident per Day
0.65089
Adjusted RN Staffing Hours per Resident per Day
0.54978
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81116
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-10-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
54.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
7
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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