North Auburn Rehab & Health Center
2830 I Street Northeast, Auburn, WA 98002


North Auburn Rehab & Health Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 505195. The address is 2830 I Street Northeast, Auburn, WA 98002. The zip code is 98002. The phone number is 2535618100.


North Auburn Rehab & Health Center · 2830 I Street Northeast, Auburn, WA 98002

Federal Provider Number 505195
Provider Name NORTH AUBURN REHAB & HEALTH CENTER
Address 2830 I STREET NORTHEAST
AUBURN, WA 98002
Phone Number 2535618100
SSA County Code 160
County Name King
Ownership Type For profit - Corporation
Certified Beds 125
Certified Beds Residents 79
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name FMG I STREET NORTHEAST WASHINGTON LLC
Date First Approved to Provide Medicare Medicaid Services 01/01/1983
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 3
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.43734
Reported LPN Staffing Hours per Resident per Day 0.75886
Reported RN Staffing Hours per Resident per Day 0.63481
Reported Licensed Staffing Hours per Resident per Day 1.39367
Reported Total Nurse Staffing Hours per Resident per Day 3.83101
Reported Physical Therapist Staffing Hours per Resident Per Day 0.13544
Expected CNA Staffing Hours per Resident per Day 2.37561
Expected LPN Staffing Hours per Resident per Day 0.63388
Expected RN Staffing Hours per Resident per Day 1.0086
Expected Total Nurse Staffing Hours per Resident per Day 4.01809
Adjusted CNA Staffing Hours per Resident per Day 2.51746
Adjusted LPN Staffing Hours per Resident per Day 0.99364
Adjusted RN Staffing Hours per Resident per Day 0.47029
Adjusted Total Nurse Staffing Hours per Resident per Day 3.84322
Cycle 1 Total Number of Health Deficiencies 19
Cycle 1 Number of Standard Health Deficiencies 15
Cycle 1 Number of Complaint Health Deficiencies 4
Cycle 1 Health Deficiency Score 132
Cycle 1 Standard Survey Health Date 03/17/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 132
Cycle 2 Total Number of Health Deficiencies 13
Cycle 2 Number of Standard Health Deficiencies 12
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 60
Cycle 2 Standard Health Survey Date 01/29/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 60
Cycle 3 Total Number of Health Deficiencies 14
Cycle 3 Number of Standard Health Deficiencies 11
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 92
Cycle 3 Standard Health Survey Date 02/26/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 92
Total Weighted Health Survey Score 101.333
Number of Facility Reported Incidents 2
Number of Substantiated Complaints 3
Number of Fines 1
Total Amount of Fines in Dollars $2600.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · North Auburn Rehab & Health Center

Owner Name Role Association Date
DETARY, TIMOTHY (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2015
DETARY, TIMOTHY (Individual) OFFICER since 07/01/2015
ELLIOTT, JARED (Individual) OFFICER since 01/30/2017
FMG OPERATING NH, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 07/01/2015
FORTIS MANAGEMENT GROUP LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2015
FORTIS MANAGEMENT HOLDINGS INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2015
GURKA, RICHARD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2015
JENKINS, ALLYSON (Individual) MANAGING EMPLOYEE since 07/01/2015
KEATING, DAVID (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2015
KEATING, DAVID (Individual) OFFICER since 07/01/2015
MANN, DYLAN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/01/2015
MANN, DYLAN (Individual) OFFICER since 07/01/2015

98002 · Nursing Home

Advanced Post Acute 414 - 17th Southeast, Auburn, WA 98002
Canterbury House 502 29th Street Southeast, Auburn, WA 98002

Auburn · Nursing Home

Westview Healthcare Center 12225 Shale Ridge Lane, Auburn, CA 95602
Auburn Nursing Home 85 Thornton Avenue, Auburn, NY 13021
Canterbury House 502 29th Street Southeast, Auburn, WA 98002
Finger Lakes Center for Living 20 Park Avenue, Auburn, NY 13021
Advanced Post Acute 414 - 17th Southeast, Auburn, WA 98002
Auburn Oaks Care Center 3400 Bell Road, Auburn, CA 95603
Betz Nursing Home 116 Betz Rd, Auburn, IN 46706
Auburn Village 1751 Wesley Road, Auburn, IN 46706
Auburn Health Care 139 Pearl St., Auburn, KY 42206
Odd Fellows & Rebekahs' Home of Maine 85 Caron Lane, Auburn, ME 04210
Clover Manor 440 Minot Ave, Auburn, ME 04210
Life Care Center of Auburn 14 Masonic Circle, Auburn, MA 01501
The Commons On St Anthony Street, A Loretto S N F 3 St Anthony Street, Auburn, NY 13021
Kindred Transitional Care & Rehab - Siena 11600 Education Street, Auburn, CA 95603
Rock Creek Care Center 260 Racetrack Street, Auburn, CA 95603
Good Samaritan Society - Auburn 1322 U Street, Auburn, NE 68305
Auburn Ravine Terrace 750 Auburn Ravine Road, Auburn, CA 95603
Skilled Nursing Facility, Managed By Wesley Homes 32049 109th Pl Se, Auburn, WA 98092
Oak Park 1365 Gatewood Drive, Auburn, AL 36830
Auburn Rehab & Hcc 304 Maple Avenue, Auburn, IL 62615

WA · Nursing Home

Mirabella Seattle 116 Fairview Avenue N, Seattle, WA 98109
Shelton Health & Rehab Center 153 Johns Court, Shelton, WA 98584
Careage of Whidbey 311 Northeast 3rd Street, Coupeville, WA 98239
Life Care Center of Federal Way 1045 South 308th Street, Federal Way, WA 98003
Providence Marianwood 3725 Providence Point Drive Southeast, Issaquah, WA 98029
Sequim Health & Rehabilitation 650 West Hemlock St, Sequim, WA 98382
Avamere Transitional Care of Puget Sound 630 South Pearl Street, Tacoma, WA 98465
Prestige Care & Rehabilitation - Parkside 308 West Emma, Union Gap, WA 98903
Warm Beach Health Care Center 20420 Marine Drive Northwest, Stanwood, WA 98292
Rockwood At Hawthorne 101 East Hawthorne Road, Spokane, WA 99218
Providence St Joseph Hospital 500 East Webster, Chewelah, WA 99109
Sullivan Park Care Center 14820 East Fourth, Spokane, WA 99216
Mountain View Rehabilitation and Care Center 5925 47th Avenue Ne, Marysville, WA 98270
Emerald Care 209 North Ahtanum Avenue, Wapato, WA 98951
The Terraces At Skyline 715 9th Avenue, Seattle, WA 98104
Alaska Gardens Health and Rehabilitation 6220 South Alaska Street, Tacoma, WA 98408
Manorcare Health Services - Lacey 4524 Intelco Loop Se, Lacey, WA 98503
Northwoods Lodge 2321 Schold Place Northwest, Silverdale, WA 98383
Kin On Health Care Center 4416 South Brandon Street, Seattle, WA 98118
Franklin Hills Health & Rehab Center 6021 North Lidgerwood, Spokane, WA 99207
Prestige Post-acute and Rehab Center - Centralia 917 South Scheuber Road, Centralia, WA 98531
Enumclaw Health & Rehab Center 2323 Jensen Street, Enumclaw, WA 98022
Providence Mount St Vincent 4831 35th Avenue Southwest, Seattle, WA 98126
Crescent Health Care, Inc 505 North 40th Avenue, Yakima, WA 98908
Life Care Center of Port Townsend 751 Kearney Street, Port Townsend, WA 98368
Crestwood Health and Rehabilitation Center 1116 E Lauridsen Boulevard, Port Angeles, WA 98362
Columbia Crest Center 1100 East Nelson Road, Moses Lake, WA 98837
Lake Ridge Center 817 East Plum Street, Moses Lake, WA 98837
Olympia Transitional Care and Rehabilitation 430 Lilly Road Northeast, Olympia, WA 98506
Fircrest School, Pat N 15230-15th Northeast, Seattle, WA 98155
Park Shore 1630 43rd Avenue East, Seattle, WA 98112
Avamere At Pacific Ridge 3625 East B Street, Tacoma, WA 98404
Washington Odd Fellows Home 534 Boyer Avenue, Walla Walla, WA 99362
Grays Harbor Health & Rehabilitation Center 920 Anderson Drive, Aberdeen, WA 98520
Montesano Health & Rehabilitation 800 North Medcalf, Montesano, WA 98563
Sharon Care Center 1509 Harrison Avenue, Centralia, WA 98531
Life Care Center of Richland 44 Goethals Drive, Richland, WA 99352
Stafford Healthcare At Belmont 560 Lebo Boulevard, Bremerton, WA 98310
Shuksan Healthcare Center 1530 James Street, Bellingham, WA 98225
Burien Nursing and Rehabilitation Center 1031 Southwest 130th Street, Burien, WA 98146