Washington Veteran Home-retsil - Retsil Nursing Home

General Information

UPDATE
Federal Provider Number
505517
Provider Name
WASHINGTON VETERAN HOME-RETSIL
Provider Address
1141 BEACH DRIVE
RETSIL, WA 98378
Provider Phone Number
3608954700
Provider SSA County
170
Provider County Name
Kitsap
Ownership Type
Government - State
Number of Certified Beds
240
Number of Residents in Certified Beds
231
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STATE OF WASHINGTON, WASHINGTON VETERANS HOME
Date First Approved to Provide Medicare and Medicaid services
2007-03-01
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
4
Health Inspection Rating Footnote
QM Rating
2
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
2.48983
Reported LPN Staffing Hours per Resident per Day
0.71991
Reported RN Staffing Hours per Resident per Day
0.89113
Reported Licensed Staffing Hours per Resident per Day
1.61104
Reported Total Nurse Staffing Hours per Resident per Day
4.10087
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02316
Expected CNA Staffing Hours per Resident per Day
2.20857
Expected LPN Staffing Hours per Resident per Day
0.55728
Expected RN Staffing Hours per Resident per Day
0.80260
Expected Total Nurse Staffing Hours per Resident per Day
3.56846
Adjusted CNA Staffing Hours per Resident per Day
2.76617
Adjusted LPN Staffing Hours per Resident per Day
1.07221
Adjusted RN Staffing Hours per Resident per Day
0.82962
Adjusted Total Nurse Staffing Hours per Resident per Day
4.63231
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-03-11
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
2013-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
1170
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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