Washington Nursing Homes >> Spokane Nursing Homes >> Sullivan Park Care Center

Sullivan Park Care Center - Spokane Nursing Home

General Information

UPDATE
Federal Provider Number
505383
Provider Name
SULLIVAN PARK CARE CENTER
Provider Address
14820 EAST FOURTH
SPOKANE, WA 99216
Provider Phone Number
(509) 922-1644
Provider SSA County
310
Provider County Name
Spokane
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE CENTER (SULLIVAN PARK), INC.
Date First Approved to Provide Medicare and Medicaid services
1991-06-12
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.14224
Reported LPN Staffing Hours per Resident per Day
0.44655
Reported RN Staffing Hours per Resident per Day
1.04095
Reported Licensed Staffing Hours per Resident per Day
1.48750
Reported Total Nurse Staffing Hours per Resident per Day
3.62974
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08750
Expected CNA Staffing Hours per Resident per Day
2.53870
Expected LPN Staffing Hours per Resident per Day
0.67573
Expected RN Staffing Hours per Resident per Day
1.11173
Expected Total Nurse Staffing Hours per Resident per Day
4.32616
Adjusted CNA Staffing Hours per Resident per Day
2.07052
Adjusted LPN Staffing Hours per Resident per Day
0.54850
Adjusted RN Staffing Hours per Resident per Day
0.69963
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38201
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
131
Cycle 1 Standard Survey Health Date
2015-02-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
131
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-01-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
68.83300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
2925
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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