Judson Park Health Center
23620 Marine View Drive South, Des Moines, WA 98198


Judson Park Health Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 505455. The address is 23620 Marine View Drive South, Des Moines, WA 98198. The zip code is 98198. The phone number is 2068244000.


Judson Park Health Center · 23620 Marine View Drive South, Des Moines, WA 98198

Federal Provider Number 505455
Provider Name JUDSON PARK HEALTH CENTER
Address 23620 MARINE VIEW DRIVE SOUTH
DES MOINES, WA 98198
Phone Number 2068244000
SSA County Code 160
County Name King
Ownership Type Non profit - Corporation
Certified Beds 96
Certified Beds Residents 81
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name AMERICAN BAPTIST HOMES OF WASHINGTON
Date First Approved to Provide Medicare Medicaid Services 01/01/1992
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 4
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.51111
Reported LPN Staffing Hours per Resident per Day 0.35864
Reported RN Staffing Hours per Resident per Day 1.31173
Reported Licensed Staffing Hours per Resident per Day 1.67037
Reported Total Nurse Staffing Hours per Resident per Day 4.18148
Reported Physical Therapist Staffing Hours per Resident Per Day 0.1963
Expected CNA Staffing Hours per Resident per Day 2.56344
Expected LPN Staffing Hours per Resident per Day 0.66647
Expected RN Staffing Hours per Resident per Day 1.16672
Expected Total Nurse Staffing Hours per Resident per Day 4.39663
Adjusted CNA Staffing Hours per Resident per Day 2.40361
Adjusted LPN Staffing Hours per Resident per Day 0.44664
Adjusted RN Staffing Hours per Resident per Day 0.84007
Adjusted Total Nurse Staffing Hours per Resident per Day 3.83365
Cycle 1 Total Number of Health Deficiencies 12
Cycle 1 Number of Standard Health Deficiencies 11
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 80
Cycle 1 Standard Survey Health Date 04/28/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 80
Cycle 2 Total Number of Health Deficiencies 13
Cycle 2 Number of Standard Health Deficiencies 13
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 100
Cycle 2 Standard Health Survey Date 05/22/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 100
Cycle 3 Total Number of Health Deficiencies 15
Cycle 3 Number of Standard Health Deficiencies 14
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 100
Cycle 3 Standard Health Survey Date 06/26/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 100
Total Weighted Health Survey Score 90
Number of Facility Reported Incidents 2
Number of Substantiated Complaints 3
Number of Fines 2
Total Amount of Fines in Dollars $31308.00
Total Number of Penalties 2
Processing Date 08/01/2017

Owner or Manager · Judson Park Health Center

Owner Name Role Association Date
AMERICAN BAPTIST HOMES OF THE WEST (Organization) OPERATIONAL/MANAGERIAL CONTROL since 09/22/2015
AMERICAN BAPTIST HOMES OF WASHINGTON (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 10/01/1982
BAKER, JUDITH (Individual) DIRECTOR since 05/01/2016
BROWN, HERMAN (Individual) DIRECTOR since 05/01/2016
BROWN, HERMAN (Individual) OFFICER since 05/01/2016
CALIFORNIA LIFE PLAN COMMUNITIES (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/01/2016
CLAASSEN, PAMELA (Individual) OFFICER since 07/01/2000
COCHRANE, JOHN (Individual) OFFICER since 05/01/2016
CORNERSTONE AFFILIATES (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 09/22/2015
DAHAN, DAVID (Individual) DIRECTOR since 05/01/2016
DECKER, DAVID (Individual) DIRECTOR since 05/01/2016
JAY, NIKOLE (Individual) MANAGING EMPLOYEE since 02/20/2012
KELLEY, ALBERT (Individual) DIRECTOR since 05/01/2016
REED, JANE (Individual) DIRECTOR since 05/01/2016
STAMPER, RANDALL (Individual) DIRECTOR since 05/01/2016
STEINMAN, DAVID (Individual) DIRECTOR since 05/01/2016
TINKER, BRET (Individual) DIRECTOR since 05/01/2016
WINTER, KATE (Individual) MANAGING EMPLOYEE since 09/01/2000

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