Shuksan Healthcare Center - Bellingham Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505098
Provider Name
SHUKSAN HEALTHCARE CENTER
Provider Address
1530 JAMES STREET
BELLINGHAM, WA 98225
BELLINGHAM, WA 98225
Provider Phone Number
(360) 733-9161
Provider SSA County
360
Provider County Name
Whatcom
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOPE CARE INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
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
2.83222
Reported LPN Staffing Hours per Resident per Day
0.68111
Reported RN Staffing Hours per Resident per Day
0.84111
Reported Licensed Staffing Hours per Resident per Day
1.52222
Reported Total Nurse Staffing Hours per Resident per Day
4.35444
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11444
Expected CNA Staffing Hours per Resident per Day
2.53867
Expected LPN Staffing Hours per Resident per Day
0.60514
Expected RN Staffing Hours per Resident per Day
1.01349
Expected Total Nurse Staffing Hours per Resident per Day
4.15730
Adjusted CNA Staffing Hours per Resident per Day
2.73743
Adjusted LPN Staffing Hours per Resident per Day
0.93420
Adjusted RN Staffing Hours per Resident per Day
0.62011
Adjusted Total Nurse Staffing Hours per Resident per Day
4.22205
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-02-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2014-01-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
120
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-09-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
76.66700
Number of Facility Reported Incidents
12
Number of Substantiated Complaints
2
Number of Fines
2
Total Amount of Fines in Dollars
9898
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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