Grays Harbor Health & Rehabilitation Center
920 Anderson Drive, Aberdeen, WA 98520


Grays Harbor Health & Rehabilitation Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 505016. The address is 920 Anderson Drive, Aberdeen, WA 98520. The zip code is 98520. The phone number is 3605325122.


Grays Harbor Health & Rehabilitation Center · 920 Anderson Drive, Aberdeen, WA 98520

Federal Provider Number 505016
Provider Name GRAYS HARBOR HEALTH & REHABILITATION CENTER
Address 920 ANDERSON DRIVE
ABERDEEN, WA 98520
Phone Number 3605325122
SSA County Code 130
County Name Grays Harbor
Ownership Type For profit - Corporation
Certified Beds 105
Certified Beds Residents 59
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name AVALON CARE CENTER - ABERDEEN, LLC
Date First Approved to Provide Medicare Medicaid Services 01/01/1967
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 1
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.5339
Reported LPN Staffing Hours per Resident per Day 0.52288
Reported RN Staffing Hours per Resident per Day 1.05508
Reported Licensed Staffing Hours per Resident per Day 1.57797
Reported Total Nurse Staffing Hours per Resident per Day 4.11186
Reported Physical Therapist Staffing Hours per Resident Per Day 0.07627
Expected CNA Staffing Hours per Resident per Day 2.44532
Expected LPN Staffing Hours per Resident per Day 0.59158
Expected RN Staffing Hours per Resident per Day 0.92201
Expected Total Nurse Staffing Hours per Resident per Day 3.95891
Adjusted CNA Staffing Hours per Resident per Day 2.54259
Adjusted LPN Staffing Hours per Resident per Day 0.73361
Adjusted RN Staffing Hours per Resident per Day 0.85504
Adjusted Total Nurse Staffing Hours per Resident per Day 4.18663
Cycle 1 Total Number of Health Deficiencies 16
Cycle 1 Number of Standard Health Deficiencies 13
Cycle 1 Number of Complaint Health Deficiencies 4
Cycle 1 Health Deficiency Score 156
Cycle 1 Standard Survey Health Date 08/17/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 156
Cycle 2 Total Number of Health Deficiencies 23
Cycle 2 Number of Standard Health Deficiencies 18
Cycle 2 Number of Complaint Health Deficiencies 5
Cycle 2 Health Deficiency Score 160
Cycle 2 Standard Health Survey Date 09/17/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 160
Cycle 3 Total Number of Health Deficiencies 12
Cycle 3 Number of Standard Health Deficiencies 11
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 52
Cycle 3 Standard Health Survey Date 10/14/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 52
Total Weighted Health Survey Score 140
Number of Facility Reported Incidents 2
Number of Substantiated Complaints 7
Number of Fines 3
Total Amount of Fines in Dollars $71243.00
Total Number of Penalties 3
Processing Date 08/01/2017

Owner or Manager · Grays Harbor Health & Rehabilitation Center

Owner Name Role Association Date
AVALON CARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/26/2003
AVALON HEALTH CARE MANAGEMENT OF WASHINGTON LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 08/26/2003
AVALON HEALTH CARE MANAGEMENT, INC. (Organization) OPERATIONAL/MANAGERIAL CONTROL since 08/02/2003
AVALON HEALTH CARE, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/26/2003
AVALON HOLDING, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/26/2003
AVALON OF WASHINGTON LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 08/26/2003
BURTON, HAROLD (Individual) DIRECTOR since 08/26/2014
CARPENTER, SCOTT (Individual) OFFICER since 05/28/2013
DANGERFIELD, DAVID (Individual) DIRECTOR since 09/01/2007
DEANS, LAWRENCE (Individual) DIRECTOR since 10/15/2013
DEANS, LAWRENCE (Individual) OFFICER since 10/15/2013
FRANKLIN, CHRISTIE (Individual) OFFICER since 08/28/2012
GARRETT, LEWIS (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2003
GARRETT, LEWIS (Individual) DIRECTOR since 11/14/2003
GONZALES, CHARLES (Individual) DIRECTOR since 08/11/2009
HESS, RITA (Individual) OFFICER since 02/24/2014
KIRTON, CHARLES (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/01/2003
KIRTON, CHARLES (Individual) DIRECTOR since 11/14/2003
KIRTON, CHARLES (Individual) OFFICER since 10/23/2012
KNAPTON, KENNETH (Individual) OFFICER since 08/01/2013
LINCOLN, FAYE (Individual) OFFICER since 12/01/2003
MASON, JAMES (Individual) DIRECTOR since 06/30/2004
SANDERS, MARK (Individual) MANAGING EMPLOYEE since 02/28/2013
STUART, ANNE (Individual) OFFICER since 03/01/2014
SWINTON, BRIAN (Individual) DIRECTOR since 06/04/2004
TIPPETS, CARL (Individual) DIRECTOR since 09/22/2006
WOLTIL, ROBERT (Individual) DIRECTOR since 05/23/2012

Aberdeen · Nursing Home

Bethesda Home of Aberdeen 1224 S High St, Aberdeen, SD 57401
Kingswood Nursing Center 915 Pee Dee Road, Aberdeen, NC 28315
Avera Mother Joseph Manor Retirement Community 1002 North Jay Street, Aberdeen, SD 57401
Aberdeen Health and Rehab 1700 North Highway 281, Aberdeen, SD 57401
Manorcare Health Services 400 8th Avenue Nw, Aberdeen, SD 57401
Care Center of Aberdeen 505 Jackson St, Aberdeen, MS 39730

WA · Nursing Home

Springs At Pacific Regent, The 919-109th Avenue Northeast, Bellevue, WA 98004
Briarwood At Timber Ridge 100 Timber Ridge Way Nw, Issaquah, WA 98027
Crescent Health Care, Inc 505 North 40th Avenue, Yakima, WA 98908
Lakeland Village Nursing Facility State Highway 902 & Salnave Road, Medical Lake, WA 99022
Caroline Kline Galland Home 7500 Seward Park Avenue South, Seattle, WA 98118
Regency North Bend Rehab & Nursing Center 219 Cedar Avenue South, North Bend, WA 98045
Fidalgo Care Center 1105 27th Street, Anacortes, WA 98221
Whitman Health & Rehab Center 1150 West Fairview Road, Colfax, WA 99111
Bethany At Silver Lake 2235 Lake Heights Drive, Everett, WA 98208
Yakima Valley School 609 Speyers Road, Selah, WA 98942
Avalon Health & Rehabilitation Center - Pasco 2004 N 22nd Avenue, Pasco, WA 99301
Park West Care Center 1703 California Avenue Southwest, Seattle, WA 98116
Manor Care Health Services-spo North 6025 Assembly, Spokane, WA 99205
Everett Center 1919 112th Street Southwest, Everett, WA 98204
Sullivan Park Care Center 14820 East Fourth, Spokane, WA 99216
Lynnwood Post Acute Rehabilitation Center 5821 188th Southwest, Lynnwood, WA 98037
Prestige Care & Rehabilitation - Parkside 308 West Emma, Union Gap, WA 98903
Ballard Center 820 Northwest 95th Street, Seattle, WA 98117
Burien Nursing and Rehabilitation Center 1031 Southwest 130th Street, Burien, WA 98146
Providence Mount St Vincent 4831 35th Avenue Southwest, Seattle, WA 98126
Selah Care and Rehabilitation 203 West Naches Avenue, Selah, WA 98942
Life Care Center of Port Townsend 751 Kearney Street, Port Townsend, WA 98368
Aldercrest Health & Rehab Center 21400 72nd Avenue West, Edmonds, WA 98026
Sea Mar Community Care Center 1040 South Henderson Street, Seattle, WA 98108
Stafholt Good Samaritan Center 456 C Street, Blaine, WA 98230
Washington Soldiers Home 1301 Orting-kapowsin Hwy E, Orting, WA 98360
Hearthstone, The 6720 East Green Lake Way North, Seattle, WA 98103
North Valley Hospital 22 W 1st Street, Tonasket, WA 98855
Colville Tribal Convalescent C Po Box 150, Nespelem, WA 99155
Regency Care Center At Monroe 1355 West Main Street, Monroe, WA 98272
Park Royal Health & Rehab Center 910 16th Avenue, Longview, WA 98632
Providence St Joseph Hospital 500 East Webster, Chewelah, WA 99109
Victory Rehabilitation and Healthcare Center LLC 510 North Parkway, Battle Ground, WA 98604
Regency Olympia Rehabilitation and Nursing Center 1811 East 22nd Avenue, Olympia, WA 98501
Puyallup Nursing and Rehabilitation Center 516 23rd Ave Se, Puyallup, WA 98372
Columbia Lutheran Home 4700 Phinney Avenue North, Seattle, WA 98103
Good Samaritan Health Care Ctr 702 North 16th Avenue, Yakima, WA 98902
Alderwood Park Health and Rehabilitation 2726 Alderwood Avenue, Bellingham, WA 98225
Kindred Seattle - Northgate 10631 8th Ave Ne, Seattle, WA 98125
Roo-lan Healthcare Center 1505 Southeast Carpenter Road, Lacey, WA 98503