Providence Mother Joseph Care
3333 Ensign Road Northeast, Olympia, WA 98506


Providence Mother Joseph Care is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 505387. The address is 3333 Ensign Road Northeast, Olympia, WA 98506. The zip code is 98506. The phone number is 3604934900.


Providence Mother Joseph Care · 3333 Ensign Road Northeast, Olympia, WA 98506

Federal Provider Number 505387
Provider Name PROVIDENCE MOTHER JOSEPH CARE
Address 3333 ENSIGN ROAD NORTHEAST
OLYMPIA, WA 98506
Phone Number 3604934900
SSA County Code 330
County Name Thurston
Ownership Type Non profit - Corporation
Certified Beds 152
Certified Beds Residents 135
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PROVIDENCE HEALTH & SERVICES WASHINGTON
Date First Approved to Provide Medicare Medicaid Services 06/07/1991
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 3
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.55259
Reported LPN Staffing Hours per Resident per Day 0.89963
Reported RN Staffing Hours per Resident per Day 0.97185
Reported Licensed Staffing Hours per Resident per Day 1.87148
Reported Total Nurse Staffing Hours per Resident per Day 4.42407
Reported Physical Therapist Staffing Hours per Resident Per Day 0.24815
Expected CNA Staffing Hours per Resident per Day 2.48573
Expected LPN Staffing Hours per Resident per Day 0.67734
Expected RN Staffing Hours per Resident per Day 1.20837
Expected Total Nurse Staffing Hours per Resident per Day 4.37144
Adjusted CNA Staffing Hours per Resident per Day 2.5197
Adjusted LPN Staffing Hours per Resident per Day 1.10239
Adjusted RN Staffing Hours per Resident per Day 0.60095
Adjusted Total Nurse Staffing Hours per Resident per Day 4.07943
Cycle 1 Total Number of Health Deficiencies 10
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Number of Complaint Health Deficiencies 6
Cycle 1 Health Deficiency Score 88
Cycle 1 Standard Survey Health Date 12/02/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 88
Cycle 2 Total Number of Health Deficiencies 14
Cycle 2 Number of Standard Health Deficiencies 11
Cycle 2 Number of Complaint Health Deficiencies 4
Cycle 2 Health Deficiency Score 100
Cycle 2 Standard Health Survey Date 11/10/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 100
Cycle 3 Total Number of Health Deficiencies 5
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 09/25/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 80.667
Number of Facility Reported Incidents 6
Number of Substantiated Complaints 7
Number of Fines 1
Total Amount of Fines in Dollars $2641.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Providence Mother Joseph Care

Owner Name Role Association Date
ALLEN, DICK (Individual) DIRECTOR since 07/01/2016
ANDERSON, DONALD (Individual) OFFICER since 01/01/2017
BLAIR, RICHARD (Individual) DIRECTOR since 07/01/2016
BUTLER, MICHAEL (Individual) OFFICER since 06/09/2016
CRAWFORD, ISIAAH (Individual) DIRECTOR since 02/01/2012
DEAN, LUCILLE (Individual) DIRECTOR since 07/01/2016
ESCASA-HAIGH, JO ANN (Individual) OFFICER since 01/01/2017
GORMALLY, KATE (Individual) MANAGING EMPLOYEE since 01/26/2004
HARVEY, SUSAN (Individual) MANAGING EMPLOYEE since 10/15/2007
HEJNA, DIANE (Individual) DIRECTOR since 07/01/2016
HELLRIGEL, ROBERT (Individual) MANAGING EMPLOYEE since 01/01/2009
HOLCOMB, MICHAEL (Individual) DIRECTOR since 01/01/2010
HUGHES, PHYLLIS (Individual) DIRECTOR since 01/01/2014
KOPFENSTEINER, THOMAS (Individual) DIRECTOR since 07/01/2016
LINER, SALLYE (Individual) DIRECTOR since 06/01/2010
LYONS, MARY (Individual) DIRECTOR since 07/01/2016
MIELE, CHRISTINA (Individual) MANAGING EMPLOYEE since 06/01/2015
NOCE, WALTER (Individual) DIRECTOR since 07/01/2016
OLSEN, DAVID (Individual) DIRECTOR since 02/01/2012
PROVIDENCE HEALTH & SERVICES-WASHINGTON (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 07/01/2016
PROVIDENCE HEALTH & SERVICES-WASHINGTON (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/06/2009
REYES, CAROLYN (Individual) DIRECTOR since 01/01/2014
STRAUSS, CYNTHIA (Individual) OFFICER since 06/11/2013
YANG, PHOEBE (Individual) DIRECTOR since 07/01/2016

street_number: 3333
route: Ensign Road Northeast (Ensign Rd NE)
locality, political: Olympia
admin_level_2, political: Thurston County
admin_level_1, political: Washington (WA)
country, political: United States (US)
postal_code: 98506
postal_code_suffix: 5012
types : premise
latitude: 47.0501345
longitude: -122.8495359
latlng: (47.0501345, -122.8495359)


98506 · Nursing Home

Olympia Transitional Care and Rehabilitation 430 Lilly Road Northeast, Olympia, WA 98506

Olympia · Nursing Home

Olympia Transitional Care and Rehabilitation 430 Lilly Road Northeast, Olympia, WA 98506
Regency Olympia Rehabilitation and Nursing Center 1811 East 22nd Avenue, Olympia, WA 98501
Puget Sound Healthcare Center 4001 Capitol Mall Dr Southwest, Olympia, WA 98502

WA · Nursing Home

Puget Sound Healthcare Center 4001 Capitol Mall Dr Southwest, Olympia, WA 98502
Prestige Care & Rehabilitation - Sunnyside 721 Otis Avenue, Sunnyside, WA 98944
Ballard Center 820 Northwest 95th Street, Seattle, WA 98117
Manor Care Health Services 3701 188th Street Southwest, Lynnwood, WA 98037
Life Care Center of Puyallup 511 10th Avenue Southeast, Puyallup, WA 98372
Careage of Whidbey 311 Northeast 3rd Street, Coupeville, WA 98239
Sea Mar Community Care Center 1040 South Henderson Street, Seattle, WA 98108
Avalon Care Center At Northpointe 9827 North Nevada, Spokane, WA 99218
Avalon Care Center - Pullman Northwest 1310 Deane, Pullman, WA 99163
Regency At The Park 420 Southeast Myra Road, College Place, WA 99324
Vashon Community Care Center 15333 Vashon Highway Southwest, Vashon, WA 98070
Cheney Care Center 2219 North 6th Street, Cheney, WA 99004
Aldercrest Health & Rehab Center 21400 72nd Avenue West, Edmonds, WA 98026
Benson Heights Rehabilitation Center 22410 Benson Road Se, Kent, WA 98031
Life Care Center of Port Townsend 751 Kearney Street, Port Townsend, WA 98368
Avalon Care Center - Federal Way 135 South 336th Street, Federal Way, WA 98003
Stafford Healthcare 2800 South 224th Street,, Des Moines, WA 98198
Grays Harbor Health & Rehabilitation Center 920 Anderson Drive, Aberdeen, WA 98520
Richland Rehabilitation Center 1745 Pike Avenue, Richland, WA 99354
Garden Terrace Healthcare Center of Federal Way 491 South 338th Street, Federal Way, WA 98003
Mirabella Seattle 116 Fairview Avenue N, Seattle, WA 98109
Prestige Post-acute & Rehab Ctr - Kittitas Vallley 1050 E Mountain View, Ellensburg, WA 98926
San Juan Rehab and Care Center 911 21st Street, Anacortes, WA 98221
Alaska Gardens Health and Rehabilitation 6220 South Alaska Street, Tacoma, WA 98408
Martha and Mary Health Service 19160 Front Street Northeast, Poulsbo, WA 98370
Kenney, The 7125 Fauntleroy Way Southwest, Seattle, WA 98136
Mt Baker Care Center 2905 Connelly Avenue, Bellingham, WA 98225
Prestige Post-acute and Rehab Center - Centralia 917 South Scheuber Road, Centralia, WA 98531
Kindred Transitional Care & Rehab Ctr Vancouver 400 East 33rd Street, Vancouver, WA 98663
Mira Vista Care Center 300 South 18th Street, Mount Vernon, WA 98274
Richmond Beach Rehab 19235 - 15th Avenue Northwest, Seattle, WA 98177
Linden Grove Health Care Center 400 - 29th Street Northeast, Puyallup, WA 98373
Manorcare Health Services - Salmon Creek 2811 Ne 139th Street, Vancouver, WA 98686
Renton Nursing and Rehabilitation Center 80 Southwest Second Street, Renton, WA 98057
Cottesmore of Life Care 2909 14th Avenue Northwest, Gig Harbor, WA 98335
Selah Care and Rehabilitation 203 West Naches Avenue, Selah, WA 98942
Avamere Olympic Rehabilitation of Sequim 1000 5th Avenue South, Sequim, WA 98382
Stafford Healthcare At Belmont 560 Lebo Boulevard, Bremerton, WA 98310
Life Care Center of Federal Way 1045 South 308th Street, Federal Way, WA 98003
Kin On Health Care Center 4416 South Brandon Street, Seattle, WA 98118