Puyallup Nursing And Rehabilitation Center - Puyallup Nursing Home
General Information
UPDATEFederal Provider Number
505211
Provider Name
PUYALLUP NURSING AND REHABILITATION CENTER
Provider Address
516 23RD AVE SE
PUYALLUP, WA 98372
PUYALLUP, WA 98372
Provider Phone Number
(253) 845-6631
Provider SSA County
260
Provider County Name
Pierce
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PUYALLUP CARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1971-08-31
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
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.49837
Reported LPN Staffing Hours per Resident per Day
1.09022
Reported RN Staffing Hours per Resident per Day
0.65815
Reported Licensed Staffing Hours per Resident per Day
1.74837
Reported Total Nurse Staffing Hours per Resident per Day
4.24674
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14130
Expected CNA Staffing Hours per Resident per Day
2.53420
Expected LPN Staffing Hours per Resident per Day
0.72008
Expected RN Staffing Hours per Resident per Day
1.28926
Expected Total Nurse Staffing Hours per Resident per Day
4.54354
Adjusted CNA Staffing Hours per Resident per Day
2.41901
Adjusted LPN Staffing Hours per Resident per Day
1.25664
Adjusted RN Staffing Hours per Resident per Day
0.38144
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76759
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-11-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2013-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
124
Total Weighted Health Survey Score
59.33300
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
1170
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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