Sherwood Park Nursing & Rehab Center - Keizer Nursing Home
General Information
UPDATEFederal Provider Number
385241
Provider Name
SHERWOOD PARK NURSING & REHAB CENTER
Provider Address
4062 ARLETA AVENUE NE
KEIZER, OR 97303
KEIZER, OR 97303
Provider Phone Number
(503) 390-2271
Provider SSA County
230
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHERWOOD PARK NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
1994-04-01
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.36190
Reported LPN Staffing Hours per Resident per Day
0.55952
Reported RN Staffing Hours per Resident per Day
0.80714
Reported Licensed Staffing Hours per Resident per Day
1.36667
Reported Total Nurse Staffing Hours per Resident per Day
4.72856
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14405
Expected CNA Staffing Hours per Resident per Day
2.59562
Expected LPN Staffing Hours per Resident per Day
0.70532
Expected RN Staffing Hours per Resident per Day
1.09901
Expected Total Nurse Staffing Hours per Resident per Day
4.39995
Adjusted CNA Staffing Hours per Resident per Day
3.17808
Adjusted LPN Staffing Hours per Resident per Day
0.65843
Adjusted RN Staffing Hours per Resident per Day
0.54876
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33195
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
16
Cycle 1 Standard Survey Health Date
2014-06-20
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
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2011-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
2
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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