The Terraces At Skyline - Seattle Nursing Home

General Information

UPDATE
Federal Provider Number
505469
Provider Name
THE TERRACES AT SKYLINE
Provider Address
715 9TH AVENUE
SEATTLE, WA 98104
Provider Phone Number
2066221300
Provider SSA County
160
Provider County Name
King
Ownership Type
Non profit - Corporation
Number of Certified Beds
34
Number of Residents in Certified Beds
34
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN RETIREMENT COMMUNITIES NORTHWEST
Date First Approved to Provide Medicare and Medicaid services
1992-01-16
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.04853
Reported LPN Staffing Hours per Resident per Day
0.33676
Reported RN Staffing Hours per Resident per Day
1.51324
Reported Licensed Staffing Hours per Resident per Day
1.85000
Reported Total Nurse Staffing Hours per Resident per Day
3.89853
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25147
Expected CNA Staffing Hours per Resident per Day
2.29910
Expected LPN Staffing Hours per Resident per Day
0.67980
Expected RN Staffing Hours per Resident per Day
1.27000
Expected Total Nurse Staffing Hours per Resident per Day
4.24890
Adjusted CNA Staffing Hours per Resident per Day
2.18628
Adjusted LPN Staffing Hours per Resident per Day
0.41117
Adjusted RN Staffing Hours per Resident per Day
0.89031
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69850
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-07-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-06-25
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
12
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-03-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
2
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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