Oregon Nursing Homes >> Portland Nursing Homes >> Rose City Nursing Home

Rose City Nursing Home - Portland Nursing Home

General Information

UPDATE
Federal Provider Number
380000000000000000000000000000
Provider Name
ROSE CITY NURSING HOME
Provider Address
34 NE 20TH AVENUE
PORTLAND, OR 97232
Provider Phone Number
(503) 231-0276
Provider SSA County
250
Provider County Name
Multnomah
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
30
Number of Residents in Certified Beds
21
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1975-03-01
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
2
Health Inspection Rating Footnote
QM Rating
5
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
2.77857
Reported LPN Staffing Hours per Resident per Day
0.18333
Reported RN Staffing Hours per Resident per Day
1.23571
Reported Licensed Staffing Hours per Resident per Day
1.41905
Reported Total Nurse Staffing Hours per Resident per Day
4.19761
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.16458
Expected LPN Staffing Hours per Resident per Day
0.53031
Expected RN Staffing Hours per Resident per Day
0.68823
Expected Total Nurse Staffing Hours per Resident per Day
3.38313
Adjusted CNA Staffing Hours per Resident per Day
3.14969
Adjusted LPN Staffing Hours per Resident per Day
0.28693
Adjusted RN Staffing Hours per Resident per Day
1.34159
Adjusted Total Nurse Staffing Hours per Resident per Day
5.00134
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-01-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-06-14
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
16
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
40.66700
Number of Facility Reported Incidents
4
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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