Independence Health And Rehabilitation Center
Independence Health And Rehabilitation Center Information
| Facility Name | Independence Health And Rehabilitation Center |
| Location | 1525 Monmouth Street, Independence, OR 97351 |
| County (SSA Code) | Polk (260) |
| Phone Number | 503-838-0001 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 80 |
| Average Number of Residents | 29.6 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | EVERGREEN OREGON HEALTHCARE INDEPENDENCE, L.L.C. |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1989-03-13 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.12556 |
| Reported LPN Staffing Hours per Resident per Day | 0.74722 |
| Reported RN Staffing - Hours per Resident per Day | 0.59489 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.34211 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.46766 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.02682 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.08072 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.7035 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.31129 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.09551 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.60142 |
| Total Weighted Health Survey Score for three cycles | 102 |
| Rating cycle 1 Standard Survey Health Date | 2018-05-25 |
| Rating cycle 1 - Health Deficiency Score | 21 |
| Rating cycle 1 - Total Health Inspection Score | 100 |
| Date of Rating cycle 2 Standard Health Survey Date | 2017-04-10 |
| Rating cycle 2 - Health Deficiency Score | 100 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-02-25 |
| Rating cycle 3 - Health Deficiency Score | 100 |
| Rating cycle 3 - Total Health Inspection Score | 100 |
| Number of Facility-Reported Incidents | 2 |
| Number of Substantiated Complaints | 12 |
| Number of Substantiated Complaints | 12 |
| Number of Fines | 2 |
| Total Amount of Fines (in Dollars) | 34395 |
| Total Number of Penalties | 2 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |