Vashon Community Care Center - Vashon Nursing Home

General Information

UPDATE
Federal Provider Number
505399
Provider Name
VASHON COMMUNITY CARE CENTER
Provider Address
15333 VASHON HIGHWAY SOUTHWEST
VASHON, WA 98070
Provider Phone Number
2065674421
Provider SSA County
160
Provider County Name
King
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
26
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VASHON ISLAND COMMUNITY CARE
Date First Approved to Provide Medicare and Medicaid services
1991-10-01
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
2.57692
Reported LPN Staffing Hours per Resident per Day
0.21154
Reported RN Staffing Hours per Resident per Day
1.41923
Reported Licensed Staffing Hours per Resident per Day
1.63077
Reported Total Nurse Staffing Hours per Resident per Day
4.20769
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13269
Expected CNA Staffing Hours per Resident per Day
2.63326
Expected LPN Staffing Hours per Resident per Day
0.60376
Expected RN Staffing Hours per Resident per Day
0.96484
Expected Total Nurse Staffing Hours per Resident per Day
4.20186
Adjusted CNA Staffing Hours per Resident per Day
2.40120
Adjusted LPN Staffing Hours per Resident per Day
0.29081
Adjusted RN Staffing Hours per Resident per Day
1.09909
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03649
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-09-19
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
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-11-18
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
56.66700
Number of Facility Reported Incidents
1
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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