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Shoreline Health And Rehabilitation Center - Seattle Nursing Home

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Federal Provider Number
505262
Provider Name
SHORELINE HEALTH AND REHABILITATION CENTER
Provider Address
2818 NORTHEAST 145TH STREET
SEATTLE, WA 98155
Provider Phone Number
(206) 418-2900
Provider SSA County
160
Provider County Name
King
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINEHURST PARK ROYAL OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1982-04-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
3.11686
Reported LPN Staffing Hours per Resident per Day
0.76744
Reported RN Staffing Hours per Resident per Day
1.15698
Reported Licensed Staffing Hours per Resident per Day
1.92442
Reported Total Nurse Staffing Hours per Resident per Day
5.04128
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11453
Expected CNA Staffing Hours per Resident per Day
2.62220
Expected LPN Staffing Hours per Resident per Day
0.69224
Expected RN Staffing Hours per Resident per Day
1.05790
Expected Total Nurse Staffing Hours per Resident per Day
4.37234
Adjusted CNA Staffing Hours per Resident per Day
2.91657
Adjusted LPN Staffing Hours per Resident per Day
0.92016
Adjusted RN Staffing Hours per Resident per Day
0.81718
Adjusted Total Nurse Staffing Hours per Resident per Day
4.64760
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-04-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-02-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2011-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
60.66700
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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