Stafford Healthcare At Belmont - Bremerton Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505290
Provider Name
STAFFORD HEALTHCARE AT BELMONT
Provider Address
560 LEBO BOULEVARD
BREMERTON, WA 98310
BREMERTON, WA 98310
Provider Phone Number
(360) 479-1515
Provider SSA County
170
Provider County Name
Kitsap
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BELMONT TERRACE, INC.
Date First Approved to Provide Medicare and Medicaid services
1984-12-19
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
3.87644
Reported LPN Staffing Hours per Resident per Day
0.43103
Reported RN Staffing Hours per Resident per Day
1.89368
Reported Licensed Staffing Hours per Resident per Day
2.32471
Reported Total Nurse Staffing Hours per Resident per Day
6.20115
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10747
Expected CNA Staffing Hours per Resident per Day
2.88174
Expected LPN Staffing Hours per Resident per Day
0.76543
Expected RN Staffing Hours per Resident per Day
1.17541
Expected Total Nurse Staffing Hours per Resident per Day
4.82258
Adjusted CNA Staffing Hours per Resident per Day
3.30065
Adjusted LPN Staffing Hours per Resident per Day
0.46739
Adjusted RN Staffing Hours per Resident per Day
1.20380
Adjusted Total Nurse Staffing Hours per Resident per Day
5.18316
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-08-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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