Mary's Woods At Marylhurst
17360 Holy Names Drive, Lake Oswego, OR 97034

Mary's Woods At Marylhurst is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 385265. The address is 17360 Holy Names Drive, Lake Oswego, OR 97034. The zip code is 97034. The phone number is 5036752004.

Mary's Woods At Marylhurst · 17360 Holy Names Drive, Lake Oswego, OR 97034

Federal Provider Number 385265
Address 17360 HOLY NAMES DRIVE
Phone Number 5036752004
SSA County Code 20
County Name Clackamas
Ownership Type Non profit - Corporation
Certified Beds 5
Certified Beds Residents 4
Provider Type Medicare and Medicaid
Resides in Hospital false
Date First Approved to Provide Medicare Medicaid Services 06/21/2002
Continuing Care Retirement Community true
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council None
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 5
Quality Measure Rating 5
Staffing Rating Footnote Data Not Available
RN Staffing Rating Footnote Data Not Available
Reported Staffing Footnote Data Not Available
Physical Therapist Staffing Footnote Data Not Available
Expected CNA Staffing Hours per Resident per Day 2.49784
Expected LPN Staffing Hours per Resident per Day 0.59767
Expected RN Staffing Hours per Resident per Day 1.19429
Expected Total Nurse Staffing Hours per Resident per Day 4.28979
Cycle 1 Standard Survey Health Date 12/16/2016
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Standard Health Survey Date 09/17/2015
Cycle 3 Standard Health Survey Date 09/09/2014
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Mary's Woods At Marylhurst

Owner Name Role Association Date
ABRAMS, THERESE (Individual) DIRECTOR since 07/01/2014
ARP, JAMES (Individual) DIRECTOR since 07/01/2014
BREILING, MARY (Individual) DIRECTOR since 07/01/2014
BREWER NUNN, KANDIS (Individual) DIRECTOR since 07/01/2014
CARLEY, MARGARET (Individual) DIRECTOR since 07/01/2014
DANNER, WINNIFRED (Individual) DIRECTOR since 07/01/2014
DESHANE, MICHAEL (Individual) DIRECTOR since 07/01/2014
DIAMOND, MICHAEL (Individual) DIRECTOR since 07/01/2014
FINNIGAN, DENNIS (Individual) DIRECTOR since 07/01/2014
FRAWLEY, ROSWITHA (Individual) MANAGING EMPLOYEE since 07/01/2014
GALLO, JACQUELINE (Individual) DIRECTOR since 07/01/2014
GALT, DAVID (Individual) DIRECTOR since 07/01/2014
HOLOHAN, MARY ELLEN (Individual) DIRECTOR since 07/01/2014
HOOD, DIANE (Individual) MANAGING EMPLOYEE since 07/04/2014
HOOD, DIANE (Individual) OFFICER since 06/19/2014
KAISER, MARVIN (Individual) MANAGING EMPLOYEE since 07/01/2014
KAISER, MARVIN (Individual) OFFICER since 07/01/2014
MAYER, JUDITH (Individual) DIRECTOR since 07/01/2014
RUSHMER, DONALD (Individual) DIRECTOR since 07/01/2014
SCOTT, KIMBERLY (Individual) MANAGING EMPLOYEE since 07/01/2014
SCOTT, KIMBERLY (Individual) OFFICER since 07/01/2014
THOMPSON, LYNDA (Individual) DIRECTOR since 07/01/2014

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