Regency North Bend Rehab & Nursing Center - North Bend Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505339
Provider Name
REGENCY NORTH BEND REHAB & NURSING CENTER
Provider Address
219 CEDAR AVENUE SOUTH
NORTH BEND, WA 98045
NORTH BEND, WA 98045
Provider Phone Number
(425) 888-2129
Provider SSA County
160
Provider County Name
King
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BD NORTH BEND I, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
1.86596
Reported LPN Staffing Hours per Resident per Day
0.09894
Reported RN Staffing Hours per Resident per Day
1.36809
Reported Licensed Staffing Hours per Resident per Day
1.46702
Reported Total Nurse Staffing Hours per Resident per Day
3.33299
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07447
Expected CNA Staffing Hours per Resident per Day
2.37315
Expected LPN Staffing Hours per Resident per Day
0.66096
Expected RN Staffing Hours per Resident per Day
1.06275
Expected Total Nurse Staffing Hours per Resident per Day
4.09686
Adjusted CNA Staffing Hours per Resident per Day
1.92930
Adjusted LPN Staffing Hours per Resident per Day
0.12424
Adjusted RN Staffing Hours per Resident per Day
0.96188
Adjusted Total Nurse Staffing Hours per Resident per Day
3.27933
Cycle 1 Total Number of Health Deficiencies
30
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
156
Cycle 1 Standard Survey Health Date
2014-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
156
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2012-10-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2011-12-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
102.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
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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