Providence Extended Care - Anchorage Nursing Home

General Information

UPDATE
Federal Provider Number
25036
Provider Name
PROVIDENCE EXTENDED CARE
Provider Address
920 COMPASSION CIRCLE
ANCHORAGE, AK 99504
Provider Phone Number
9072120259
Provider SSA County
20
Provider County Name
Anchorage
Ownership Type
Non profit - Church related
Number of Certified Beds
96
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PROVIDENCE HEALTH & SERVICES WASHINGTON
Date First Approved to Provide Medicare and Medicaid services
2013-02-13
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
4.08511
Reported LPN Staffing Hours per Resident per Day
1.01383
Reported RN Staffing Hours per Resident per Day
1.81968
Reported Licensed Staffing Hours per Resident per Day
2.83351
Reported Total Nurse Staffing Hours per Resident per Day
6.91862
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04255
Expected CNA Staffing Hours per Resident per Day
2.51499
Expected LPN Staffing Hours per Resident per Day
0.74411
Expected RN Staffing Hours per Resident per Day
1.06909
Expected Total Nurse Staffing Hours per Resident per Day
4.32819
Adjusted CNA Staffing Hours per Resident per Day
3.98556
Adjusted LPN Staffing Hours per Resident per Day
1.13086
Adjusted RN Staffing Hours per Resident per Day
1.27179
Adjusted Total Nurse Staffing Hours per Resident per Day
6.44340
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
281
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
281
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
183.83300
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

Nursiong Homes Nearby

Prestige Care & Rehab Center Of Anchorage

9100 Centennial Drive | ANCHORAGE AK 99504 | 2.2 miles away

Providence Transitional Care Center

4900 Eagle Street | ANCHORAGE AK 99503 | 4.2 miles away

Reviews: Be the first to review this provider.

Share your experience with Providence Extended Care. You can help others by writing a review.