Woodland Convalescent Center - Woodland Nursing Home

General Information

UPDATE
Federal Provider Number
505232
Provider Name
WOODLAND CONVALESCENT CENTER
Provider Address
310 FOURTH STREET
WOODLAND, WA 98674
Provider Phone Number
3602259443
Provider SSA County
70
Provider County Name
Cowlitz
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1975-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.49623
Reported LPN Staffing Hours per Resident per Day
0.60000
Reported RN Staffing Hours per Resident per Day
0.85189
Reported Licensed Staffing Hours per Resident per Day
1.45189
Reported Total Nurse Staffing Hours per Resident per Day
3.94812
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04057
Expected CNA Staffing Hours per Resident per Day
2.70790
Expected LPN Staffing Hours per Resident per Day
0.65646
Expected RN Staffing Hours per Resident per Day
1.03140
Expected Total Nurse Staffing Hours per Resident per Day
4.39576
Adjusted CNA Staffing Hours per Resident per Day
2.26190
Adjusted LPN Staffing Hours per Resident per Day
0.75861
Adjusted RN Staffing Hours per Resident per Day
0.61716
Adjusted Total Nurse Staffing Hours per Resident per Day
3.62041
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
132
Cycle 2 Standard Health Survey Date
2013-09-23
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
19
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2012-08-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
74.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
Number of Fines
2
Total Amount of Fines in Dollars
21515
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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