Park Royal Health & Rehab Center
910 16th Avenue, Longview, WA 98632


Park Royal Health & Rehab Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 505288. The address is 910 16th Avenue, Longview, WA 98632. The zip code is 98632. The phone number is 3604232890.


Park Royal Health & Rehab Center · 910 16th Avenue, Longview, WA 98632

Federal Provider Number 505288
Provider Name PARK ROYAL HEALTH & REHAB CENTER
Address 910 16TH AVENUE
LONGVIEW, WA 98632
Phone Number 3604232890
SSA County Code 70
County Name Cowlitz
Ownership Type For profit - Corporation
Certified Beds 50
Certified Beds Residents 36
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name EVERGREEN AT PARK ROYAL II, L.L.C.
Date First Approved to Provide Medicare Medicaid Services 05/21/1984
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 5
Health Inspection Rating 5
Quality Measure Rating 4
Staffing Rating 3
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.11389
Reported LPN Staffing Hours per Resident per Day 0.57361
Reported RN Staffing Hours per Resident per Day 0.76944
Reported Licensed Staffing Hours per Resident per Day 1.34306
Reported Total Nurse Staffing Hours per Resident per Day 3.45694
Reported Physical Therapist Staffing Hours per Resident Per Day 0.05
Expected CNA Staffing Hours per Resident per Day 2.75138
Expected LPN Staffing Hours per Resident per Day 0.57191
Expected RN Staffing Hours per Resident per Day 0.76883
Expected Total Nurse Staffing Hours per Resident per Day 4.09212
Adjusted CNA Staffing Hours per Resident per Day 1.88519
Adjusted LPN Staffing Hours per Resident per Day 0.83246
Adjusted RN Staffing Hours per Resident per Day 0.7478
Adjusted Total Nurse Staffing Hours per Resident per Day 3.40523
Cycle 1 Total Number of Health Deficiencies 1
Cycle 1 Number of Standard Health Deficiencies 1
Cycle 1 Health Deficiency Score 8
Cycle 1 Standard Survey Health Date 08/03/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 8
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 36
Cycle 2 Standard Health Survey Date 05/29/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 36
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 7
Cycle 3 Health Deficiency Score 36
Cycle 3 Standard Health Survey Date 04/04/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 36
Total Weighted Health Survey Score 22
Number of Facility Reported Incidents 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Park Royal Health & Rehab Center

Owner Name Role Association Date
DINH, DIEU (Individual) MANAGING EMPLOYEE since 02/28/2017
EMPRES FINANCIAL SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 02/28/2017
EMPRES HEALTHCARE GROUP INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/28/2017
EMPRES HEALTHCARE GROUP, INC. EMPLOYEE STOCK OWNERSHIP TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/28/2017
EMPRES HEALTHCARE MANAGEMENT LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 02/28/2017
EMPRES WASHINGTON HEALTHCARE, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 02/28/2017
LENTINI, KATHLEEN (Individual) MANAGING EMPLOYEE since 02/28/2017
MARTINI, ANDREW (Individual) 5% OR GREATER SECURITY INTEREST since 02/28/2017
MCCOY, MICHAEL (Individual) MANAGING EMPLOYEE since 02/28/2017
MIDCAP FINANCIAL TRUST (Organization) 5% OR GREATER SECURITY INTEREST since 02/28/2017
MILLER, MICHAEL (Individual) OFFICER since 02/28/2017
MILLER, WILLIAM (Individual) OFFICER since 02/28/2017
WEIL, BRENT (Individual) OFFICER since 02/28/2017

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