Puget Sound Healthcare Center - Olympia Nursing Home
General Information
UPDATEFederal Provider Number
505299
Provider Name
PUGET SOUND HEALTHCARE CENTER
Provider Address
4001 CAPITOL MALL DR SOUTHWEST
OLYMPIA, WA 98502
OLYMPIA, WA 98502
Provider Phone Number
3607549792
Provider SSA County
330
Provider County Name
Thurston
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EXTENDICARE HOMES, INC
Date First Approved to Provide Medicare and Medicaid services
1985-09-27
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
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
2.54021
Reported LPN Staffing Hours per Resident per Day
1.03763
Reported RN Staffing Hours per Resident per Day
0.99742
Reported Licensed Staffing Hours per Resident per Day
2.03505
Reported Total Nurse Staffing Hours per Resident per Day
4.57526
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10361
Expected CNA Staffing Hours per Resident per Day
2.58047
Expected LPN Staffing Hours per Resident per Day
0.75815
Expected RN Staffing Hours per Resident per Day
1.23521
Expected Total Nurse Staffing Hours per Resident per Day
4.57383
Adjusted CNA Staffing Hours per Resident per Day
2.41542
Adjusted LPN Staffing Hours per Resident per Day
1.13596
Adjusted RN Staffing Hours per Resident per Day
0.60336
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03216
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
160
Cycle 1 Standard Survey Health Date
2014-05-23
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
80
Cycle 1 Total Health Score
240
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-03-13
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
13
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
214
Cycle 3 Standard Health Survey Date
2011-12-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
214
Total Weighted Health Survey Score
189.00000
Number of Facility Reported Incidents
21
Number of Substantiated Complaints
18
Number of Fines
2
Total Amount of Fines in Dollars
8450
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Olympia Manor
1811 East 22nd Avenue |
OLYMPIA WA 98501 | 3.7 miles away
Providence Mother Joseph Care
3333 Ensign Road Northeast |
OLYMPIA WA 98506 | 4.9 miles away
Evergreen Nursing & Rehab Center
430 Lilly Road Northeast |
OLYMPIA WA 98506 | 5.3 miles away
Panorama City Conv & Rehab Ctr
1600 Sleater Kinney Road Se |
LACEY WA 98503 | 5.6 miles away
Manorcare Health Services - Lacey
4524 Intelco Loop Se |
LACEY WA 98503 | 6.4 miles away
Roo-lan Healthcare Center
1505 Southeast Carpenter Road |
LACEY WA 98503 | 7.6 miles away
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