Manorcare Health Services - Salmon Creek · Manor Care of Salmon Creek Wa, Association

3605745247 · 2811 Ne 139th Street, Vancouver, WA 98686

Overview

Manorcare Health Services - Salmon Creek is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #505522. The provider type is Medicare and Medicaid. The ownership type is non profit - corporation. The address is 2811 Ne 139th Street, Vancouver, WA 98686. The overall rating is 5.

Federal Provider Number 505522
Provider Name MANORCARE HEALTH SERVICES - SALMON CREEK
Legal Business Name MANOR CARE OF SALMON CREEK WA, ASSOCIATION
Address 2811 Ne 139th Street
Vancouver
WA 98686
County Clark
Telephone 3605745247
Ownership Type Non profit - Corporation
Provider Type Medicare and Medicaid
Date Approved 2011-10-26
Number of Certified Beds 120
Average Number of Residents per Day 72.7
Provider Resides in Hospital N
Continuing Care Retirement Community N
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago Y
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 4
Long Stay Quality Measure Rating 4
Short Stay Quality Measure Rating 5
Staffing Rating 5
Registered Nurses Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 1.95523
Reported LPN Staffing Hours per Resident per Day 0.73313
Reported RN Staffing Hours per Resident per Day 1.63613
Reported Licensed Staffing Hours per Resident per Day 2.36926
Reported Total Nurse Staffing Hours per Resident per Day 4.32450
Reported Physical Therapist Staffing Hours per Resident Per Day 0.25998
Expected CNA Staffing Hours per Resident per Day 2.10149
Expected LPN Staffing Hours per Resident per Day 0.83928
Expected RN Staffing Hours per Resident per Day 0.41955
Expected Total Nurse Staffing Hours per Resident per Day 3.36032
Adjusted CNA Staffing Hours per Resident per Day 1.91551
Adjusted LPN Staffing Hours per Resident per Day 0.64720
Adjusted RN Staffing Hours per Resident per Day 1.56066
Adjusted Total Nurse Staffing Hours per Resident per Day 4.11804
Rating Cycle 1 Standard Survey Health Date 2019-02-12
Rating Cycle 1 Total Number of Health Deficiencies 16
Rating Cycle 1 Number of Standard Health Deficiencies 16
Rating Cycle 1 Number of Complavarchar Health Deficiencies 0
Rating Cycle 1 Health Deficiency Score 100
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 100
Rating Cycle 2 Standard Health Survey Date 2018-03-13
Rating Cycle 2 Total Number of Health Deficiencies 8
Rating Cycle 2 Number of Standard Health Deficiencies 6
Rating Cycle 2 Number of Complavarchar Health Deficiencies 2
Rating Cycle 2 Health Deficiency Score 52
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 52
Rating Cycle 3 Standard Health Survey Date 2017-01-10
Rating Cycle 3 Total Number of Health Deficiencies 2
Rating Cycle 3 Number of Standard Health Deficiencies 1
Rating Cycle 3 Number of Complavarchar Health Deficiencies 1
Rating Cycle 3 Health Deficiency Score 8
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 8
Total Weighted Health Survey Score 68.667
Number of Facility Reported Incidents 0
Number of Substantiated Complavarchars 3
Number of Citations from Infection Control Inspections 0
Number of Fines 0
Total Amount of Fines in Dollars 0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
MANORCARE HEALTH SERVICES - SALMON CREEK

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER INDIRECT OWNERSHIP INTERESTHCR HEALTHCARE, LLCOrganizationNO PERCENTAGE PROVIDEDsince 12/20/2007
5% OR GREATER INDIRECT OWNERSHIP INTERESTHCR MANORCARE, INC.OrganizationNO PERCENTAGE PROVIDEDsince 07/26/2018
5% OR GREATER INDIRECT OWNERSHIP INTERESTMANORCARE HEALTH SERVICES LLCOrganizationNO PERCENTAGE PROVIDEDsince 12/21/2007
5% OR GREATER INDIRECT OWNERSHIP INTERESTPROMEDICA HEALTH SYSTEM, INCOrganizationNO PERCENTAGE PROVIDEDsince 07/26/2018
DIRECTORALLEN, MARTINIndividualsince 09/30/2012
DIRECTORDAVIS, LYNNEIndividualsince 09/01/2019
DIRECTORHOOPS, KATHRYNIndividualsince 09/01/2019
DIRECTORKACZOR, ELIZABETHIndividualsince 09/01/2019
DIRECTORKILE, THOMASIndividualsince 09/01/2019
DIRECTORMCCORMICK, PATRICIAIndividualsince 09/01/2019
DIRECTORRICE-WHITE, DELAINEIndividualsince 09/01/2019
DIRECTORUBAYDI, RAMIIndividualsince 09/01/2019
MANAGING EMPLOYEEPETERSON, LAURAIndividualsince 07/30/2018
MANAGING EMPLOYEESHIPMAN, DEANIndividualsince 05/01/2016
OFFICERHOOPS, KATHRYNIndividualsince 11/07/2007
OFFICERKACZOR, ELIZABETHIndividualsince 09/30/2012
OFFICERKILE, THOMASIndividualsince 01/01/2019
OFFICERMCCORMICK, PATRICIAIndividualsince 09/30/2012
OFFICERUBAYDI, RAMIIndividualsince 12/31/2017
OPERATIONAL/MANAGERIAL CONTROLALLEN, MARTINIndividualsince 09/22/2017
OPERATIONAL/MANAGERIAL CONTROLHCR MANOR CARE SERVICES LLCOrganizationsince 12/21/2007

Location Information

Street Address 2811 NE 139TH STREET
City VANCOUVER
State WA
Zip Code 98686

Nursing Homes in the same city

Nursing Home NameAddressTelephoneDate ApprovedOverall Rating
Vancouver Specialty and Rehab Care · 1015 North Garrison LLC 1015 North Garrison Road, Vancouver, WA 9866436069475011982-07-013
Fort Vancouver Post Acute LLC 8507 Northeast 8th Way, Vancouver, WA 9866436025453351981-10-162
Discovery Nursing & Rehab of Vancouver · Care Center Hazel Dell Inc 5220 Northeast Hazel Dell Avenue, Vancouver, WA 9866336069314741989-06-025
The Oaks At Timberline · Thirty Three Oaks LLC 400 East 33rd Street, Vancouver, WA 9866336069625611970-11-093
Avamere Rehabilitation of Cascade Park · Vancouver Operations, LLC 801 Southeast Park Crest Avenue, Vancouver, WA 9868336026022001991-09-012

Nursing Homes in the state of WA

Nursing Home NameAddressTelephoneDate ApprovedOverall Rating
Yakima Valley School 609 Speyers Road, Selah, WA 9894250969813001994-04-213
Martha and Mary Health Services 19160 Front Street Northeast, Poulsbo, WA 9837036077975001992-07-015
Lakeland Village Nursing Facility State Highway 902 & Salnave Road, Medical Lake, WA 9902250929918001994-05-234
Northwoods Lodge · Sante Snf Op Co, LLC 2321 Schold Place Northwest, Silverdale, WA 9838336069839301994-02-015
Mission Healthcare At Bellevue Joint Venture 2424 156th Avenue Northeast, Bellevue, WA 9800742564111661997-01-225
Life Care Center of South Hill · South Hill Operations LLC 2508 7th St Southeast, Puyallup, WA 9837425366159482015-06-245
Linden Grove Health Care Center · 400 29th Street Northeast Operations LLC 400 - 29th Street Northeast, Puyallup, WA 9837325384044001993-08-043
Everett Center · Sunbridge Nursing Home, Inc. 1919 112th Street Southwest, Everett, WA 9820442551316001995-09-181
Avamere Transitional Care of Puget Sound · Georgian Rehab LLC 630 South Pearl Street, Tacoma, WA 9846525367173002017-03-274
Benson Heights Rehabilitation Center · Avalon Care Center-Kent, LLC 22410 Benson Road Se, Kent, WA 9803125385277552008-11-102
Find all nursing homes in the state of WA

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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.