Roo-lan Healthcare Center - Lacey Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505254
Provider Name
ROO-LAN HEALTHCARE CENTER
Provider Address
1505 SOUTHEAST CARPENTER ROAD
LACEY, WA 98503
LACEY, WA 98503
Provider Phone Number
(360) 491-1765
Provider SSA County
330
Provider County Name
Thurston
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LACEY NURSING CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1980-04-01
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.20057
Reported LPN Staffing Hours per Resident per Day
0.79261
Reported RN Staffing Hours per Resident per Day
0.51761
Reported Licensed Staffing Hours per Resident per Day
1.31023
Reported Total Nurse Staffing Hours per Resident per Day
3.51079
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06875
Expected CNA Staffing Hours per Resident per Day
2.77724
Expected LPN Staffing Hours per Resident per Day
0.60253
Expected RN Staffing Hours per Resident per Day
0.89651
Expected Total Nurse Staffing Hours per Resident per Day
4.27627
Adjusted CNA Staffing Hours per Resident per Day
1.94421
Adjusted LPN Staffing Hours per Resident per Day
1.09185
Adjusted RN Staffing Hours per Resident per Day
0.43141
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30934
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-02-21
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-05-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
1105
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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