Bailey-boushay House
2720 East Madison, Seattle, WA 98112


Bailey-boushay House is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 505476. The address is 2720 East Madison, Seattle, WA 98112. The zip code is 98112. The phone number is 2063225300.


Bailey-boushay House · 2720 East Madison, Seattle, WA 98112

Federal Provider Number 505476
Provider Name BAILEY-BOUSHAY HOUSE
Address 2720 EAST MADISON
SEATTLE, WA 98112
Phone Number 2063225300
SSA County Code 160
County Name King
Ownership Type Non profit - Corporation
Certified Beds 35
Certified Beds Residents 34
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name VIRGINIA MASON MEDICAL CENTER
Date First Approved to Provide Medicare Medicaid Services 06/25/1992
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 5
Health Inspection Rating 4
Quality Measure Rating 2
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 4.06471
Reported RN Staffing Hours per Resident per Day 4.41471
Reported Licensed Staffing Hours per Resident per Day 4.41471
Reported Total Nurse Staffing Hours per Resident per Day 8.47942
Reported Physical Therapist Staffing Hours per Resident Per Day 1.42794
Expected CNA Staffing Hours per Resident per Day 2.28903
Expected LPN Staffing Hours per Resident per Day 0.68912
Expected RN Staffing Hours per Resident per Day 1.05705
Expected Total Nurse Staffing Hours per Resident per Day 4.0352
Adjusted CNA Staffing Hours per Resident per Day 4.35712
Adjusted RN Staffing Hours per Resident per Day 3.12064
Adjusted Total Nurse Staffing Hours per Resident per Day 8.47039
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 8
Cycle 1 Health Deficiency Score 48
Cycle 1 Standard Survey Health Date 04/17/2017
Cycle 1 Total Health Score 48
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Number of Complaint Health Deficiencies 3
Cycle 2 Health Deficiency Score 12
Cycle 2 Standard Health Survey Date 03/16/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 12
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 32
Cycle 3 Standard Health Survey Date 01/30/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 32
Total Weighted Health Survey Score 33.333
Number of Facility Reported Incidents 1
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Bailey-boushay House

Owner Name Role Association Date
BLODGETT, JANE (Individual) OFFICER since 06/11/2015
CORVI, CAROLYN (Individual) OFFICER since 06/12/2015
EDELHEIT, LEWIS (Individual) OFFICER since 06/11/2015
GREEN, JOSHUA (Individual) OFFICER since 06/11/2015
GRIFFIN, MICHELLE (Individual) OFFICER since 06/11/2015
HAMACHEK, TOD (Individual) OFFICER since 06/11/2015
KAPLAN, GARY (Individual) OFFICER since 04/09/2015
KNOWLES, BRIAN (Individual) DIRECTOR since 06/11/2015
KNOWLES, BRIAN (Individual) MANAGING EMPLOYEE since 04/01/2007
KNOWLES, BRIAN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 06/11/2015
LEMON, ROBERT (Individual) OFFICER since 06/11/2015
LOPUS, ALFRED (Individual) OFFICER since 06/11/2015
MANN, DOROTHY (Individual) OFFICER since 06/11/2015
MCWILLIAMS, MARY (Individual) OFFICER since 01/01/2015
MEYER, GREGG (Individual) OFFICER since 01/01/2016
MORATH, JULIANNE (Individual) OFFICER since 06/11/2015
OPPENHEIMER, JOHN (Individual) OFFICER since 01/01/2016
ORLIKOFF, JAMES (Individual) OFFICER since 06/11/2015
PANGRAZIO, KRISTI (Individual) OFFICER since 06/11/2015
RASCO, PATRICIA (Individual) MANAGING EMPLOYEE since 04/09/2015
RASCO, PATRICIA (Individual) OPERATIONAL/MANAGERIAL CONTROL since 06/11/2015
ROBBINS, RICHARD (Individual) DIRECTOR since 01/01/2006
SCHAEFER, STEVEN (Individual) OFFICER since 04/09/2015
VIRGINIA MASON MEDICAL CENTER (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 06/24/1992
YOUNG, JAMES (Individual) OFFICER since 06/11/2015

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