Willamette View Health Center - Milwaukie Nursing Home

General Information

UPDATE
Federal Provider Number
385200
Provider Name
WILLAMETTE VIEW HEALTH CENTER
Provider Address
13145 SE RIVER ROAD
MILWAUKIE, OR 97222
Provider Phone Number
5033537000
Provider SSA County
20
Provider County Name
Clackamas
Ownership Type
Non profit - Corporation
Number of Certified Beds
6
Number of Residents in Certified Beds
6
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
WILLAMETTE VIEW INC.
Date First Approved to Provide Medicare and Medicaid services
1989-05-12
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
5.17500
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
5.00000
Reported Licensed Staffing Hours per Resident per Day
5.00000
Reported Total Nurse Staffing Hours per Resident per Day
10.17500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25833
Expected CNA Staffing Hours per Resident per Day
2.79230
Expected LPN Staffing Hours per Resident per Day
0.97221
Expected RN Staffing Hours per Resident per Day
2.28800
Expected Total Nurse Staffing Hours per Resident per Day
6.05251
Adjusted CNA Staffing Hours per Resident per Day
4.54746
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.63287
Adjusted Total Nurse Staffing Hours per Resident per Day
6.77643
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-05-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2012-10-09
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-11-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
11.33300
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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