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Providence Extended Care

Summary: Providence Extended Care is located in Anchorage, Alaska. It was first approved by Medicare and Medicaid to provide nursing home services on 2013-02-13. It currently has 96 certified beds and 94 residents in the certified beds. Providence Extended Care earned a 3-star overall rating in the lasted Medicare and Medicaid Health Inspections (2015-08-01) [1]. See following table for more details.

Information of Providence Extended Care

Nursing Home Profile
Address 920 COMPASSION CIRCLE, Anchorage, AK 99504
Phone 907-212-0259
Number Certified Beds / Residents in Certified Beds 96 / 94
Certification Medicare and Medicaid
Ratings
Overall Rating ★★★ ☆☆ (3)  
Health Inspection Rating ★★ ☆☆☆ (2)
Quality Rating ★★ ☆☆☆ (2)
Staffing Rating ★★★★★ (5)
RN Staffing Rating ★★★★★ (5)
Staff and Nurse Hour Statistics
Reported CNA Staffing Hours per Resident per Day 4.08511
Reported LPN Staffing Hours per Resident per Day 1.01383
Reported RN Staffing Hours per Resident per Day 1.81968
Reported Licensed Staffing Hours per Resident per Day 2.83351
Reported Total Nurse Staffing Hours per Resident per Day 6.91862
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04255
Expected CNA Staffing Hours per Resident per Day 2.51499
Expected LPN Staffing Hours per Resident per Day 0.74411
Expected RN Staffing Hours per Resident per Day 1.06909
Expected Total Nurse Staffing Hours per Resident per Day 4.32819
Adjusted CNA Staffing Hours per Resident per Day 3.98556
Adjusted LPN Staffing Hours per Resident per Day 1.13086
Adjusted RN Staffing Hours per Resident per Day 1.27179
Adjusted Total Nurse Staffing Hours per Resident per Day 6.44340
Notes: CNA=Certified nurse attendant;   LPN=Licensed practical nurse
Health Deficiencies & Scores
Cycle 1 Total Number of Health Deficiencies 12
Cycle 1 Number of Standard Health Deficiencies 12
Cycle 1 Number of Complaint Health Deficiencies 0
Cycle 1 Health Deficiency Score 281
Cycle 1 Standard Survey Health Date 2014-11-07
Cycle 1 Number of Health Revisits 1
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 281
Cycle 2 Total Number of Health Deficiencies 15
Cycle 2 Number of Standard Health Deficiencies 15
Cycle 2 Number of Complaint Health Deficiencies 0
Cycle 2 Health Deficiency Score 112
Cycle 2 Standard Survey Health Date 2013-12-12
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 112
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 7
Cycle 3 Number of Complaint Health Deficiencies 0
Cycle 3 Health Deficiency Score 36
Cycle 3 Standard Survey Health Date 2013-01-31
Cycle 3 Number of Health Revisits 1
Cycle 3 Health Revisit Score 0
Cycle 2 Total Health Score 36
Total Weighted Health Survey Score 183.833
Complaints, Fines & Penalties
Number of Facility Reported Incidents 0
Number of Substantiated Complaints 0
Number of Fines 0
Total Amount of Fines in Dollars 0
Number of Payment Denials 0
Total Number of Penalties 0
Facility Information
Ownership Non profit - Church related
Date First Approved to Provide Medicare and Medicaid 2013-02-13
Provider Resides in Hospital NO
Continuing Care Retirement Community N
Special Focus Facility N
Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Processing Date 2015-08-01

Ownership Information

Owner NameOwner RoleOwner Type%
Providence Health & Services Washington5% Or Greater Direct Ownership InterestOrganization100%
Aszkenazy, MarthaDirectorIndividualn/a
Clode, JeffreyDirectorIndividualn/a
Crawford, IsiaahDirectorIndividualn/a
Dean, LucilleDirectorIndividualn/a
Heid, LucilleDirectorIndividualn/a
Holcomb, MichaelDirectorIndividualn/a
Liner, SallyeDirectorIndividualn/a
Mcdonald, KirbyDirectorIndividualn/a
Nordstrom, JohnDirectorIndividualn/a
Olsen, DavidDirectorIndividualn/a
Rasmussen, DanaDirectorIndividualn/a
Roberts, JamesDirectorIndividualn/a
Robinson, OwenDirectorIndividualn/a
Scott, CherylDirectorIndividualn/a
Snow, PeterDirectorIndividualn/a
Stein, MichaelDirectorIndividualn/a
Watts, CharlesDirectorIndividualn/a
Wolf, EllenDirectorIndividualn/a
Barrington, ChristineOfficerIndividualn/a
Dorsch, AnthonyOfficerIndividualn/a
Hofheins, ToddOfficerIndividualn/a
Koster, JohnOfficerIndividualn/a
Lamoureux, BruceOfficerIndividualn/a
Rogers, JeffreyOfficerIndividualn/a
Barrington, ChristineManaging EmployeeIndividualn/a
Dorsch, AnthonyManaging EmployeeIndividualn/a
Humphrey Barnett, SusanManaging EmployeeIndividualn/a
Lamoureux, BruceManaging EmployeeIndividualn/a
Lewis, AngelaManaging EmployeeIndividualn/a