Springs At Pacific Regent, The - Bellevue Nursing Home

General Information

UPDATE
Federal Provider Number
505371
Provider Name
SPRINGS AT PACIFIC REGENT, THE
Provider Address
919-109TH AVENUE NORTHEAST
BELLEVUE, WA 98004
Provider Phone Number
4256463993
Provider SSA County
160
Provider County Name
King
Ownership Type
For profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
39
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
FOUNTAINS BELLEVUE SL, LLC
Date First Approved to Provide Medicare and Medicaid services
1990-06-25
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.96154
Reported LPN Staffing Hours per Resident per Day
1.05897
Reported RN Staffing Hours per Resident per Day
1.54615
Reported Licensed Staffing Hours per Resident per Day
2.60513
Reported Total Nurse Staffing Hours per Resident per Day
5.56666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.28077
Expected CNA Staffing Hours per Resident per Day
2.36869
Expected LPN Staffing Hours per Resident per Day
0.71353
Expected RN Staffing Hours per Resident per Day
1.46844
Expected Total Nurse Staffing Hours per Resident per Day
4.55067
Adjusted CNA Staffing Hours per Resident per Day
3.06782
Adjusted LPN Staffing Hours per Resident per Day
1.23182
Adjusted RN Staffing Hours per Resident per Day
0.78674
Adjusted Total Nurse Staffing Hours per Resident per Day
4.93085
Cycle 1 Total Number of Health Deficiencies
23
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
12
Cycle 1 Health Deficiency Score
156
Cycle 1 Standard Survey Health Date
2014-08-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
156
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-02-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
118.00000
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
2080
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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