Washington Nursing Homes >> Seattle Nursing Homes >> Providence Mount St Vincent

Providence Mount St Vincent - Seattle Nursing Home

General Information

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Federal Provider Number
505182
Provider Name
PROVIDENCE MOUNT ST VINCENT
Provider Address
4831 35TH AVENUE SOUTHWEST
SEATTLE, WA 98126
Provider Phone Number
(206) 937-3700
Provider SSA County
160
Provider County Name
King
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
215
Number of Residents in Certified Beds
195
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
1968-04-01
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
3
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
2.76590
Reported LPN Staffing Hours per Resident per Day
0.31538
Reported RN Staffing Hours per Resident per Day
1.31385
Reported Licensed Staffing Hours per Resident per Day
1.62923
Reported Total Nurse Staffing Hours per Resident per Day
4.39513
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13333
Expected CNA Staffing Hours per Resident per Day
2.64453
Expected LPN Staffing Hours per Resident per Day
0.69985
Expected RN Staffing Hours per Resident per Day
1.17671
Expected Total Nurse Staffing Hours per Resident per Day
4.52109
Adjusted CNA Staffing Hours per Resident per Day
2.56632
Adjusted LPN Staffing Hours per Resident per Day
0.37403
Adjusted RN Staffing Hours per Resident per Day
0.83428
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91860
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
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
68
Cycle 3 Standard Health Survey Date
2012-04-13
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
34
Cycle 3 Total Health Score
102
Total Weighted Health Survey Score
39.00000
Number of Facility Reported Incidents
2
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
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