Coast Fork Nursing Center
Coast Fork Nursing Center Information
| Facility Name | Coast Fork Nursing Center |
| Location | 515 Grant Street, Cottage Grove, OR 97424 |
| County (SSA Code) | Lane (190) |
| Phone Number | 541-942-5528 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 80 |
| Average Number of Residents | 43.2 |
| CCRC Facility? | Yes |
| 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 | Resident |
| Provider Business Name | COAST FORK NURSING CENTER INC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1982-06-22 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.7622 |
| Reported LPN Staffing Hours per Resident per Day | 0.87595 |
| Reported RN Staffing - Hours per Resident per Day | 0.89373 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.76968 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.53189 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.0529 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.02077 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.71434 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.32462 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.05973 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.72215 |
| Total Weighted Health Survey Score for three cycles | 250.5 |
| Rating cycle 1 Standard Survey Health Date | 2018-07-20 |
| Rating cycle 1 - Health Deficiency Score | 20 |
| Rating cycle 1 - Total Health Inspection Score | 88 |
| Date of Rating cycle 2 Standard Health Survey Date | 2017-04-21 |
| Rating cycle 2 - Health Deficiency Score | 88 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-02-25 |
| Rating cycle 3 - Health Deficiency Score | 28 |
| Rating cycle 3 - Total Health Inspection Score | 28 |
| Number of Facility-Reported Incidents | 6 |
| Number of Substantiated Complaints | 6 |
| Number of Substantiated Complaints | 6 |
| Number of Fines | 2 |
| Total Amount of Fines (in Dollars) | 23146 |
| Total Number of Penalties | 2 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |