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Detailed information-PROVIDENCE EXTENDED CARE

This is the detailed information about PROVIDENCE EXTENDED CARE, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 025036
Provider Name: PROVIDENCE EXTENDED CARE
Provider State: AK
Provider Zip Code: 99504
Overall Rating: 2
Ownership Type: Non profit - Church related
Number of Substantiated Complaints: 0
Provider Phone Number: 9072120259
Provider City: ANCHORAGE
Provider SSA County Code: 020
Provider County Name: Anchorage
Provider Address: 920 COMPASSION CIRCLE
Number of Certified Beds: 96
Number of Residents in Certified Beds: 94.9
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Date First Approved to Provide Medicare and Medicaid services: 2013-02-13
Continuing Care Retirement Community: N
Special Focus Facility: N
Most Recent Health Inspection More Than 2 Years Ago: N

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 Footnote:
Health Inspection Rating: 1
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: 3.86936
Reported LPN Staffing Hours per Resident per Day: 0.77068
Reported RN Staffing Hours per Resident per Day: 1.68018
Reported Licensed Staffing Hours per Resident per Day: 2.45086
Reported Total Nurse Staffing Hours per Resident per Day: 6.32022
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.09319
Expected CNA Staffing Hours per Resident per Day: 2.18972
Expected LPN Staffing Hours per Resident per Day: 0.72508
Expected RN Staffing Hours per Resident per Day: 0.33395
Expected Total Nurse Staffing Hours per Resident per Day: 3.24875

Adjusted CNA Staffing Hours per Resident per Day: 3.69180
Adjusted LPN Staffing Hours per Resident per Day: 0.80658
Adjusted RN Staffing Hours per Resident per Day: 1.91400
Adjusted Total Nurse Staffing Hours per Resident per Day: 6.28086
Health Survey Date Under New Process: No Health Inspection since 11/28/2017
Number of Health Deficiencies on Survey Under New Process: Not Applicable
Severity of Most Severe Deficiency Cited Under New Process: Not Applicable
Largest Number of Residents Affected by Deficiency Cited Under New Process: Not Applicable
Date of Previous Standard Health Inspection: 12/15/2016
Number of Health Deficiencies on Previous Standard Health Inspection: 15
Rating Cycle 1 Standard Survey Health Date: 2016-12-15
Rating Cycle 1 Total Number of Health Deficiencies: 15
Rating Cycle 1 Number of Standard Health Deficiencies: 15
Rating Cycle 1 Number of Complaint Health Deficiencies: 0
Rating Cycle 1 Health Deficiency Score: 285
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 285

Rating Cycle 2 Standard Health Survey Date: 2015-10-08
Rating Cycle 2 Total Number of Health Deficiencies: 9
Rating Cycle 2 Number of Standard Health Deficiencies: 9
Rating Cycle 2 Number of Complaint Health Deficiencies: 0
Rating Cycle 2 Health Deficiency Score: 56
Rating Cycle 2 Number of Health Revisits: 1
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 56
Total Weighted Health Survey Score: 193.400
Number of Facility Reported Incidents: 0
Number of Fines: 1
Total Amount of Fines in Dollars: 73125
Number of Payment Denials: 0
Total Number of Penalties: 1
Processing Date: 2018-04-01