Rogue Valley Manor - Medford Nursing Home
General Information
UPDATEFederal Provider Number
385250
Provider Name
ROGUE VALLEY MANOR
Provider Address
1200 MIRA MAR AVENUE
MEDFORD, OR 97504
MEDFORD, OR 97504
Provider Phone Number
(541) 857-7777
Provider SSA County
140
Provider County Name
Jackson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
72
Number of Residents in Certified Beds
29
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
ROGUE VALLEY MANOR
Date First Approved to Provide Medicare and Medicaid services
1995-12-07
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
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
4.10345
Reported LPN Staffing Hours per Resident per Day
0.84828
Reported RN Staffing Hours per Resident per Day
1.51724
Reported Licensed Staffing Hours per Resident per Day
2.36552
Reported Total Nurse Staffing Hours per Resident per Day
6.46897
Reported Physical Therapist Staffing Hours per Resident Per Day
0.60517
Expected CNA Staffing Hours per Resident per Day
2.46048
Expected LPN Staffing Hours per Resident per Day
0.61712
Expected RN Staffing Hours per Resident per Day
1.03806
Expected Total Nurse Staffing Hours per Resident per Day
4.11566
Adjusted CNA Staffing Hours per Resident per Day
4.09215
Adjusted LPN Staffing Hours per Resident per Day
1.14090
Adjusted RN Staffing Hours per Resident per Day
1.09211
Adjusted Total Nurse Staffing Hours per Resident per Day
6.33574
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-27
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-03-01
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-11-04
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
6.66700
Number of Facility Reported Incidents
1
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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