Tacoma Lutheran Home - Tacoma Nursing Home
General Information
UPDATEFederal Provider Number
505435
Provider Name
TACOMA LUTHERAN HOME
Provider Address
1301 N HIGHLANDS PARKWAY
TACOMA, WA 98406
TACOMA, WA 98406
Provider Phone Number
(253) 752-7112
Provider SSA County
260
Provider County Name
Pierce
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
189
Number of Residents in Certified Beds
152
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TACOMA LUTHERAN HOME AND RETIREMENT COMMUNITY
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
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
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.09145
Reported LPN Staffing Hours per Resident per Day
1.28224
Reported RN Staffing Hours per Resident per Day
0.74770
Reported Licensed Staffing Hours per Resident per Day
2.02993
Reported Total Nurse Staffing Hours per Resident per Day
5.12139
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17862
Expected CNA Staffing Hours per Resident per Day
2.65288
Expected LPN Staffing Hours per Resident per Day
0.64553
Expected RN Staffing Hours per Resident per Day
1.10663
Expected Total Nurse Staffing Hours per Resident per Day
4.40504
Adjusted CNA Staffing Hours per Resident per Day
2.85935
Adjusted LPN Staffing Hours per Resident per Day
1.64865
Adjusted RN Staffing Hours per Resident per Day
0.50485
Adjusted Total Nurse Staffing Hours per Resident per Day
4.68641
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-06-25
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
10
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-05-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
66.00000
Number of Facility Reported Incidents
10
Number of Substantiated Complaints
0
Number of Fines
3
Total Amount of Fines in Dollars
2925
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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