Sheridan Care Center - Sheridan Nursing Home
General Information
UPDATEFederal Provider Number
385275
Provider Name
SHERIDAN CARE CENTER
Provider Address
411 SE SHERIDAN ROAD
SHERIDAN, OR 97378
SHERIDAN, OR 97378
Provider Phone Number
(503) 843-2204
Provider SSA County
350
Provider County Name
Yamhill
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHERIDAN CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2012-07-10
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
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
3.20500
Reported LPN Staffing Hours per Resident per Day
0.51250
Reported RN Staffing Hours per Resident per Day
0.50375
Reported Licensed Staffing Hours per Resident per Day
1.01625
Reported Total Nurse Staffing Hours per Resident per Day
4.22125
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03875
Expected CNA Staffing Hours per Resident per Day
2.48860
Expected LPN Staffing Hours per Resident per Day
0.59868
Expected RN Staffing Hours per Resident per Day
0.84152
Expected Total Nurse Staffing Hours per Resident per Day
3.92879
Adjusted CNA Staffing Hours per Resident per Day
3.16006
Adjusted LPN Staffing Hours per Resident per Day
0.71052
Adjusted RN Staffing Hours per Resident per Day
0.44729
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33096
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-09
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
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
135
Cycle 2 Standard Health Survey Date
2013-08-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
135
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
12
Cycle 3 Standard Health Survey Date
2012-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
63.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
4095
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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