Forks Community Hospital, Ltcu
Forks Community Hospital, Ltcu Information
| Facility Name | Forks Community Hospital, Ltcu |
| Location | 530 Bogachiel Way, Forks, WA 98331 |
| County (SSA Code) | Clallam (40) |
| Phone Number | 360-374-6271 |
| Certification(s) | Medicaid |
| Number of Beds | 20 |
| Average Number of Residents | 19.9 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | Yes |
| Resident Family Council | Resident |
| Provider Business Name | Legal Business Name Not Available |
| Ownership Type | For profit - Partnership |
| Date First Approved | 1986-11-20 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.68403 |
| Reported LPN Staffing Hours per Resident per Day | 0.03521 |
| Reported RN Staffing - Hours per Resident per Day | 2.23988 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.2751 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.95913 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.19885 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.63814 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.27534 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.11233 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 6.10436 |
| Total Weighted Health Survey Score for three cycles | 22 |
| Rating cycle 1 Standard Survey Health Date | 2020-01-24 |
| Rating cycle 1 - Health Deficiency Score | 1 |
| Rating cycle 1 - Total Health Inspection Score | 48 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-03-07 |
| Rating cycle 2 - Health Deficiency Score | 48 |
| Date of Rating cycle 3 Standard Health Survey Date | 2018-01-18 |
| Rating cycle 3 - Health Deficiency Score | 24 |
| Rating cycle 3 - Total Health Inspection Score | 24 |
| Number of Facility-Reported Incidents | 6 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |