Tekoa Care Center
330 North Madison, Tekoa, WA 99033


Tekoa Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 505415. The address is 330 North Madison, Tekoa, WA 99033. The zip code is 99033. The phone number is 5092844501.


Tekoa Care Center · 330 North Madison, Tekoa, WA 99033

Federal Provider Number 505415
Provider Name TEKOA CARE CENTER
Address 330 NORTH MADISON
TEKOA, WA 99033
Phone Number 5092844501
SSA County Code 370
County Name Whitman
Ownership Type For profit - Corporation
Certified Beds 65
Certified Beds Residents 53
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name TEKOA OPERATIONS LLC TEKOA CARE CENTER
Date First Approved to Provide Medicare Medicaid Services 01/01/1992
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 2
Quality Measure Rating 3
Staffing Rating 2
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 1.71132
Reported LPN Staffing Hours per Resident per Day 0.53679
Reported RN Staffing Hours per Resident per Day 0.48962
Reported Licensed Staffing Hours per Resident per Day 1.02642
Reported Total Nurse Staffing Hours per Resident per Day 2.73773
Expected CNA Staffing Hours per Resident per Day 2.70032
Expected LPN Staffing Hours per Resident per Day 0.60185
Expected RN Staffing Hours per Resident per Day 0.83961
Expected Total Nurse Staffing Hours per Resident per Day 4.14178
Adjusted CNA Staffing Hours per Resident per Day 1.55502
Adjusted LPN Staffing Hours per Resident per Day 0.74027
Adjusted RN Staffing Hours per Resident per Day 0.43573
Adjusted Total Nurse Staffing Hours per Resident per Day 2.66444
Cycle 1 Total Number of Health Deficiencies 17
Cycle 1 Number of Standard Health Deficiencies 14
Cycle 1 Number of Complaint Health Deficiencies 3
Cycle 1 Health Deficiency Score 148
Cycle 1 Standard Survey Health Date 03/30/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 148
Cycle 2 Total Number of Health Deficiencies 14
Cycle 2 Number of Standard Health Deficiencies 11
Cycle 2 Number of Complaint Health Deficiencies 3
Cycle 2 Health Deficiency Score 56
Cycle 2 Standard Health Survey Date 04/28/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 56
Cycle 3 Total Number of Health Deficiencies 1
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Health Deficiency Score 4
Cycle 3 Standard Health Survey Date 06/29/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 4
Total Weighted Health Survey Score 93.333
Number of Facility Reported Incidents 3
Number of Substantiated Complaints 3
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Tekoa Care Center

Owner Name Role Association Date
DOUGHTY, AARON (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
since 03/16/2015
NOBLE HEALTHCARE LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
80%
since 03/16/2015
WESTER, JOSHUA (Individual) MANAGING EMPLOYEE since 03/16/2015
WESTER, LAWRENCE (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
40%
since 03/16/2015

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