Buena Vista Healthcare
151 Buena Vista Drive, Colville, WA 99114


Buena Vista Healthcare is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 505329. The address is 151 Buena Vista Drive, Colville, WA 99114. The zip code is 99114. The phone number is 5096844539.


Buena Vista Healthcare · 151 Buena Vista Drive, Colville, WA 99114

Federal Provider Number 505329
Provider Name BUENA VISTA HEALTHCARE
Address 151 BUENA VISTA DRIVE
COLVILLE, WA 99114
Phone Number 5096844539
SSA County Code 320
County Name Stevens
Ownership Type For profit - Individual
Certified Beds 40
Certified Beds Residents 38
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name EMPRES AT COLVILLE LLC
Date First Approved to Provide Medicare Medicaid Services 04/12/1989
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 Resident
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 2.55855
Expected LPN Staffing Hours per Resident per Day 0.6456
Expected RN Staffing Hours per Resident per Day 1.00898
Expected Total Nurse Staffing Hours per Resident per Day 4.21312
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 06/22/2017
Cycle 1 Total Health Score 16
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 12
Cycle 2 Standard Health Survey Date 08/18/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 12
Cycle 3 Total Number of Health Deficiencies 6
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Health Deficiency Score 28
Cycle 3 Standard Health Survey Date 09/16/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 28
Total Weighted Health Survey Score 16.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Buena Vista Healthcare

Owner Name Role Association Date
CARTER, VIVIAN (Individual) MANAGING EMPLOYEE since 01/01/2015
EMPRES FINANCIAL SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/05/2014
EMPRES HEALTHCARE GROUP INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/05/2014
EMPRES HEALTHCARE GROUP, INC. EMPLOYEE STOCK OWNERSHIP TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/05/2014
EMPRES HEALTHCARE MANAGEMENT LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/05/2014
EMPRES WASHINGTON HEALTHCARE, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 11/05/2014
GRAY, NANI (Individual) OFFICER since 11/05/2014
KENNICK, DANIEL (Individual) MANAGING EMPLOYEE since 04/01/2016
MARTINI, ANDREW (Individual) 5% OR GREATER SECURITY INTEREST since 11/05/2014
MIDCAP FINANCIAL TRUST (Organization) 5% OR GREATER SECURITY INTEREST since 02/08/2016
MILLER, MICHAEL (Individual) OFFICER since 11/05/2014
MILLER, WILLIAM (Individual) OFFICER since 04/01/2016
SCOTT, GLENDA (Individual) MANAGING EMPLOYEE since 01/01/2015
WEIL, BRENT (Individual) OFFICER since 04/01/2016

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