Sunrise View Convalescent Ctr - Everett Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505463
Provider Name
SUNRISE VIEW CONVALESCENT CTR
Provider Address
2520 MADISON
EVERETT, WA 98203
EVERETT, WA 98203
Provider Phone Number
(425) 353-4040
Provider SSA County
300
Provider County Name
Snohomish
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
59
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNRISE VIEW CONVALESCENT CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.89216
Reported LPN Staffing Hours per Resident per Day
0.41863
Reported RN Staffing Hours per Resident per Day
1.19216
Reported Licensed Staffing Hours per Resident per Day
1.61078
Reported Total Nurse Staffing Hours per Resident per Day
4.50295
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15980
Expected CNA Staffing Hours per Resident per Day
2.97861
Expected LPN Staffing Hours per Resident per Day
0.72284
Expected RN Staffing Hours per Resident per Day
1.12569
Expected Total Nurse Staffing Hours per Resident per Day
4.82714
Adjusted CNA Staffing Hours per Resident per Day
2.38249
Adjusted LPN Staffing Hours per Resident per Day
0.48069
Adjusted RN Staffing Hours per Resident per Day
0.79132
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76019
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-11-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
42.00000
Number of Facility Reported Incidents
4
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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