Prestige Post-acute & Rehabilitation Ctr-gresham - Gresham Nursing Home
General Information
UPDATEFederal Provider Number
385190
Provider Name
PRESTIGE POST-ACUTE & REHABILITATION CTR-GRESHAM
Provider Address
405 NE 5TH STREET
GRESHAM, OR 97030
GRESHAM, OR 97030
Provider Phone Number
(503) 666-5600
Provider SSA County
250
Provider County Name
Multnomah
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
88
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PACIFIC REGENCY CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1989-02-23
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
3.33431
Reported LPN Staffing Hours per Resident per Day
0.42059
Reported RN Staffing Hours per Resident per Day
0.92451
Reported Licensed Staffing Hours per Resident per Day
1.34510
Reported Total Nurse Staffing Hours per Resident per Day
4.67941
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14412
Expected CNA Staffing Hours per Resident per Day
2.60792
Expected LPN Staffing Hours per Resident per Day
0.68913
Expected RN Staffing Hours per Resident per Day
1.14376
Expected Total Nurse Staffing Hours per Resident per Day
4.44080
Adjusted CNA Staffing Hours per Resident per Day
3.13714
Adjusted LPN Staffing Hours per Resident per Day
0.50657
Adjusted RN Staffing Hours per Resident per Day
0.60397
Adjusted Total Nurse Staffing Hours per Resident per Day
4.24748
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-03-03
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
190
Cycle 2 Standard Health Survey Date
2012-08-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
190
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2011-04-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
89.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
2
Number of Fines
5
Total Amount of Fines in Dollars
8450
Number of Payment Denials
0
Total Number of Penalties
5
Location
Processing Date
2015-06-01
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