Wesley Homes Health Center - Des Moines Nursing Home

General Information

UPDATE
Federal Provider Number
505475
Provider Name
WESLEY HOMES HEALTH CENTER
Provider Address
1122 SOUTH 216TH STREET
DES MOINES, WA 98198
Provider Phone Number
2068243663
Provider SSA County
160
Provider County Name
King
Ownership Type
Non profit - Church related
Number of Certified Beds
148
Number of Residents in Certified Beds
130
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WESLEY HOMES DES MOINES LLC
Date First Approved to Provide Medicare and Medicaid services
1992-05-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.98615
Reported LPN Staffing Hours per Resident per Day
0.93692
Reported RN Staffing Hours per Resident per Day
0.73423
Reported Licensed Staffing Hours per Resident per Day
1.67115
Reported Total Nurse Staffing Hours per Resident per Day
4.65730
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09615
Expected CNA Staffing Hours per Resident per Day
2.93048
Expected LPN Staffing Hours per Resident per Day
0.69070
Expected RN Staffing Hours per Resident per Day
1.09495
Expected Total Nurse Staffing Hours per Resident per Day
4.71612
Adjusted CNA Staffing Hours per Resident per Day
2.50032
Adjusted LPN Staffing Hours per Resident per Day
1.12588
Adjusted RN Staffing Hours per Resident per Day
0.50104
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98063
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-05-02
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
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
62.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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