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Queen Anne Healthcare - Seattle Nursing Home

General Information

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Federal Provider Number
505204
Provider Name
QUEEN ANNE HEALTHCARE
Provider Address
2717 DEXTER AVENUE NORTH
SEATTLE, WA 98109
Provider Phone Number
(206) 284-7012
Provider SSA County
160
Provider County Name
King
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SEATTLE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1976-03-01
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
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.23773
Reported LPN Staffing Hours per Resident per Day
0.65773
Reported RN Staffing Hours per Resident per Day
0.74273
Reported Licensed Staffing Hours per Resident per Day
1.40045
Reported Total Nurse Staffing Hours per Resident per Day
3.63819
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12682
Expected CNA Staffing Hours per Resident per Day
2.45220
Expected LPN Staffing Hours per Resident per Day
0.65751
Expected RN Staffing Hours per Resident per Day
1.07773
Expected Total Nurse Staffing Hours per Resident per Day
4.18743
Adjusted CNA Staffing Hours per Resident per Day
2.23910
Adjusted LPN Staffing Hours per Resident per Day
0.83028
Adjusted RN Staffing Hours per Resident per Day
0.51494
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50219
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-08-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-10-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
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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