Town Center Village - Happy Valley Nursing Home
General Information
UPDATEFederal Provider Number
385236
Provider Name
TOWN CENTER VILLAGE
Provider Address
8607 SE CAUSEY AVENUE
HAPPY VALLEY, OR 97086
HAPPY VALLEY, OR 97086
Provider Phone Number
5036544500
Provider SSA County
20
Provider County Name
Clackamas
Ownership Type
For profit - Corporation
Number of Certified Beds
51
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TCV EMPLOYEES LLC
Date First Approved to Provide Medicare and Medicaid services
1993-04-16
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
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
3.39271
Reported LPN Staffing Hours per Resident per Day
0.58021
Reported RN Staffing Hours per Resident per Day
1.38958
Reported Licensed Staffing Hours per Resident per Day
1.96979
Reported Total Nurse Staffing Hours per Resident per Day
5.36250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15625
Expected CNA Staffing Hours per Resident per Day
2.50883
Expected LPN Staffing Hours per Resident per Day
0.72545
Expected RN Staffing Hours per Resident per Day
1.44024
Expected Total Nurse Staffing Hours per Resident per Day
4.67452
Adjusted CNA Staffing Hours per Resident per Day
3.31815
Adjusted LPN Staffing Hours per Resident per Day
0.66383
Adjusted RN Staffing Hours per Resident per Day
0.72092
Adjusted Total Nurse Staffing Hours per Resident per Day
4.62415
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-03-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
52
Cycle 2 Standard Health Survey Date
2012-08-22
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2011-04-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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