Providence Mother Joseph Care - Olympia Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505387
Provider Name
PROVIDENCE MOTHER JOSEPH CARE
Provider Address
3333 ENSIGN ROAD NORTHEAST
OLYMPIA, WA 98506
OLYMPIA, WA 98506
Provider Phone Number
(360) 493-4900
Provider SSA County
330
Provider County Name
Thurston
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
152
Number of Residents in Certified Beds
141
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
1991-06-07
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
5
Overall Rating Footnote
Health Inspection Rating
3
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
2.46809
Reported LPN Staffing Hours per Resident per Day
0.82163
Reported RN Staffing Hours per Resident per Day
1.00887
Reported Licensed Staffing Hours per Resident per Day
1.83050
Reported Total Nurse Staffing Hours per Resident per Day
4.29859
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26525
Expected CNA Staffing Hours per Resident per Day
2.62252
Expected LPN Staffing Hours per Resident per Day
0.66104
Expected RN Staffing Hours per Resident per Day
1.17849
Expected Total Nurse Staffing Hours per Resident per Day
4.46205
Adjusted CNA Staffing Hours per Resident per Day
2.30921
Adjusted LPN Staffing Hours per Resident per Day
1.03164
Adjusted RN Staffing Hours per Resident per Day
0.63966
Adjusted Total Nurse Staffing Hours per Resident per Day
3.88324
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-10-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
56.66700
Number of Facility Reported Incidents
10
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
1170
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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