Rose Haven Nursing Center - Roseburg Nursing Home

General Information

UPDATE
Federal Provider Number
385151
Provider Name
ROSE HAVEN NURSING CENTER
Provider Address
740 NW HILL PLACE
ROSEBURG, OR 97471
Provider Phone Number
(541) 672-1631
Provider SSA County
90
Provider County Name
Douglas
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
193
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FISHER CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1982-05-12
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
3.17535
Reported LPN Staffing Hours per Resident per Day
1.00000
Reported RN Staffing Hours per Resident per Day
0.79507
Reported Licensed Staffing Hours per Resident per Day
1.79507
Reported Total Nurse Staffing Hours per Resident per Day
4.97042
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14155
Expected CNA Staffing Hours per Resident per Day
2.51078
Expected LPN Staffing Hours per Resident per Day
0.72036
Expected RN Staffing Hours per Resident per Day
1.32885
Expected Total Nurse Staffing Hours per Resident per Day
4.55998
Adjusted CNA Staffing Hours per Resident per Day
3.10317
Adjusted LPN Staffing Hours per Resident per Day
1.15221
Adjusted RN Staffing Hours per Resident per Day
0.44706
Adjusted Total Nurse Staffing Hours per Resident per Day
4.39372
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-06-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
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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