Talbot Center For Rehab & Heal - Renton Nursing Home

General Information

UPDATE
Federal Provider Number
505202
Provider Name
TALBOT CENTER FOR REHAB & HEAL
Provider Address
4430 TALBOT ROAD SOUTH
RENTON, WA 98055
Provider Phone Number
4252267500
Provider SSA County
160
Provider County Name
King
Ownership Type
For profit - Corporation
Number of Certified Beds
136
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVERGREEN AT TALBOT ROAD, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1970-06-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.31910
Reported LPN Staffing Hours per Resident per Day
0.73146
Reported RN Staffing Hours per Resident per Day
1.17472
Reported Licensed Staffing Hours per Resident per Day
1.90618
Reported Total Nurse Staffing Hours per Resident per Day
4.22528
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12191
Expected CNA Staffing Hours per Resident per Day
2.53345
Expected LPN Staffing Hours per Resident per Day
0.69301
Expected RN Staffing Hours per Resident per Day
1.24241
Expected Total Nurse Staffing Hours per Resident per Day
4.46888
Adjusted CNA Staffing Hours per Resident per Day
2.24609
Adjusted LPN Staffing Hours per Resident per Day
0.87605
Adjusted RN Staffing Hours per Resident per Day
0.70649
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81118
Cycle 1 Total Number of Health Deficiencies
24
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
144
Cycle 1 Standard Survey Health Date
2014-06-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
144
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-04-04
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
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-02-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
119.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
1040
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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