Village At Hillside - Mcminnville Nursing Home
General Information
UPDATEFederal Provider Number
385269
Provider Name
VILLAGE AT HILLSIDE
Provider Address
440 NW HILLSIDE PARKWAY
MCMINNVILLE, OR 97128
MCMINNVILLE, OR 97128
Provider Phone Number
(503) 472-9534
Provider SSA County
350
Provider County Name
Yamhill
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
20
Number of Residents in Certified Beds
16
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
EMERICARE INC
Date First Approved to Provide Medicare and Medicaid services
2005-07-22
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.00000
Reported LPN Staffing Hours per Resident per Day
1.50000
Reported RN Staffing Hours per Resident per Day
0.48125
Reported Licensed Staffing Hours per Resident per Day
1.98125
Reported Total Nurse Staffing Hours per Resident per Day
4.98125
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17813
Expected CNA Staffing Hours per Resident per Day
2.48030
Expected LPN Staffing Hours per Resident per Day
0.72251
Expected RN Staffing Hours per Resident per Day
1.40978
Expected Total Nurse Staffing Hours per Resident per Day
4.61260
Adjusted CNA Staffing Hours per Resident per Day
2.96782
Adjusted LPN Staffing Hours per Resident per Day
1.72315
Adjusted RN Staffing Hours per Resident per Day
0.25507
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35306
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-09-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-06-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
0
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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