Dallas Retirement Village Health Center
Dallas Retirement Village Health Center Information
| Facility Name | Dallas Retirement Village Health Center |
| Location | 377 Nw Jasper Street, Dallas, OR 97338 |
| County (SSA Code) | Polk (260) |
| Phone Number | 503-623-5581 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 121 |
| Average Number of Residents | 97 |
| 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 | DALLAS HEALTH CARE CENTER LLC |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1989-09-12 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.00079 |
| Reported LPN Staffing Hours per Resident per Day | 1.1144 |
| Reported RN Staffing - Hours per Resident per Day | 0.65711 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.77151 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.7723 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.15026 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.98623 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.7136 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.33318 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.03301 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.01646 |
| Total Weighted Health Survey Score for three cycles | 90.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-11-12 |
| Rating cycle 1 - Health Deficiency Score | 14 |
| Rating cycle 1 - Total Health Inspection Score | 102 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-03-16 |
| Rating cycle 2 - Health Deficiency Score | 68 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-02-10 |
| Rating cycle 3 - Health Deficiency Score | 148 |
| Rating cycle 3 - Total Health Inspection Score | 148 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 9 |
| Number of Substantiated Complaints | 9 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 33426 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |