2017-q2- revised preliminary-2017/08/07 washington … · 26500 125 4113742 118 214 6345 79 150...
TRANSCRIPT
Loc
Nmbr
Lic
Beds
Provider
Number
Total
Rsdnts
Stay
Period
Count
Total Days
for All
Rsdnts
Rsdnt
Count
Stay
Period
Count
Days Fac Medicaid Medicaid
32400 96 4115441 102 175 4753 53 98 3468 2.431 2.195 2.195
40350 123 4113973 210 404 9735 113 235 7344 2.598 2.287 2.287
21300 128 4115201 164 306 8470 109 204 6833 2.645 2.508 2.528
33200 85 4111027 123 252 6231 73 154 4734 2.665 2.511 2.517
12900 102 4114737 120 236 7507 107 212 6917 2.465 2.466 2.477
14100 74 4112231 71 169 5044 62 140 4509 2.549 2.427 2.465
11800 112 4913288 69 99 1615 5 6 80 3.121 1.771 3.783
18800 76 4113346 78 156 4276 44 90 3105 2.526 2.371 2.374
40790 120 4113551 174 325 9355 119 229 7694 2.833 2.715 2.714
19800 39 4113593 39 81 2138 29 57 1642 3.007 2.897 2.897
21200 48 4113619 58 116 2311 22 38 1184 2.596 2.097 2.407
40510 119 4113585 183 325 9007 107 196 6824 2.680 2.554 2.557
19900 108 4113627 144 301 6935 77 166 5142 2.657 2.405 2.405
28000 102 4114054 117 249 8629 111 237 8350 2.233 2.203 2.203
19300 84 4114602 88 174 5110 77 151 4797 2.544 2.463 2.463
16100 89 4114039 118 239 5973 83 154 4642 2.418 2.337 2.366
26500 125 4113742 118 214 6345 79 150 5304 2.185 2.075 2.096
40470 88 4115081 209 376 7203 85 147 3897 3.038 2.675 2.691
41114 60 4915421 35 52 436 10 13 106 3.374 3.073 3.073
40260 35 4111068 39 72 3051 36 68 2845 2.101 2.067 2.087
23300 69 4115101 96 166 4615 63 107 3832 2.603 2.441 2.441
25060 142 4115031 172 324 10751 165 312 10450 2.432 2.412 2.413
9400 50 4146106 59 105 2495 16 28 837 2.920 2.648 2.647
34100 67 4114661 97 205 4845 57 114 3530 2.679 2.440 2.440
35400 91 4113635 90 205 7900 88 201 7718 2.300 2.290 2.290
40740 111 4112900 209 337 9164 128 220 7225 3.010 2.937 2.935
40020 120 4110490 170 295 9537 114 212 7911 2.766 2.673 2.677
40010 34 4210001 25 50 1695 20 38 1307 2.123 2.059 2.049
12100 99 4114393 150 318 7543 82 190 5461 2.852 2.652 2.652
13700 125 4111571 146 281 8817 122 238 7914 2.439 2.379 2.379
40940 36 4914138 47 101 3037 4 4 110 2.044 1.043 0.000
114 BREMERTON CONVALESCENT & REHABILITATION CENTER 89.76 2.439
126885 BRIARWOOD AT TIMBER RIDGE 3.62 2.077
112 BOOKER REST HOME ANNEX 77.11 2.116
222 BOTHELL HEALTH CARE 72.40 2.852
107 BETHANY AT PACIFIC 78.84 3.009
106 BETHANY AT SILVER LAKE 82.95 2.769
260 BEACON HILL REHABILITATION 72.86 2.679
126966 BENSON HEIGHTS REHABILITATION CENTER 97.70 2.300
204 BALLARD CENTER 97.20 2.432
101 BAYVIEW MANOR 33.55 2.920
99 BAILEY-BOUSHAY HOUSE 93.25 2.118
205 BAINBRIDGE ISLAND HEALTH & REHAB CENTER 83.03 2.602
123 AVAMERE REHABILITATION OF CASCADE PARK 54.10 3.048
316759 AVAMERE TRANSITIONAL CARE OF PUGET SOUND 24.31 3.374
192 AVAMERE HERITAGE REHABILITATION OF TACOMA 77.72 2.440
266 AVAMERE OLYMPIC REHABILITATION OF SEQUIM 83.59 2.202
349 AVAMERE AT PACIFIC RIDGE 96.77 2.233
103 AVAMERE BELLINGHAM HEALTH CARE & REHAB SERVICES 93.87 2.544
109 AVALON CARE CENTER AT NORTHPOINTE 75.76 2.682
110 AVALON HEALTH & REHABILITATION CENTER - PASCO 74.15 2.657
269 AVALON CARE CENTER - OTHELLO LLC 76.80 3.007
274 AVALON CARE CENTER - PULLMAN 51.23 2.780
306 ARLINGTON HEALTH AND REHABILITATION 72.61 2.529
7435 AVALON CARE CENTER - FEDERAL WAY 82.24 2.832
154 AMERICANA HEALTH & REHAB CTR 89.39 2.582
97 ANDERSON HOUSE 4.95 3.195
94 ALDERWOOD MANOR 75.97 2.670
95 ALDERWOOD PARK HEALTH AND REHABILITATION 92.14 2.474
172 ALASKA GARDENS HEALTH AND REHABILITATION 75.44 2.598
93 ALDERCREST HEALTH & REHAB CENTER 80.67 2.661
FA
CIL
ITY
ID
Name % Fac
221 ADVANCED POST ACUTE 72.96 2.431
Medicaid Residents With Default W/O Default
For Dates: 04/01/2017 to 06/30/2017
Average Case Mix Index:
2017-Q2- Revised Preliminary-2017/08/07 Washington State – Aging and Long-Term Support Administration
Case Mix Index versus Case Mix Index Medicaid by Facility
CMX-020533-0
Report Run Date: 08/07/2017
Assessments Received as of: 08/04/2017
For Dates: 04/01/2017 to 06/30/2017
2017-Q2- Revised Preliminary-2017/08/07 Washington State – Aging and Long-Term Support Administration
Case Mix Index versus Case Mix Index Medicaid by Facility
CMX-020533-0
Report Run Date: 08/07/2017
Assessments Received as of: 08/04/2017
40670 40 4115021 56 130 3372 17 39 1421 2.651 2.359 2.359
9900 140 4114153 195 382 9723 127 254 7426 2.996 2.814 2.814
4500 100 4112694 155 302 7561 79 157 5253 2.599 2.282 2.282
35040 112 4110946 126 242 6362 71 131 4307 2.946 2.811 2.809
23500 205 4165809 359 651 17879 135 262 9007 3.044 2.990 2.990
25000 65 4167706 68 134 4781 59 112 4293 1.975 1.920 1.920
41010 22 4220109 75 123 1526 21 35 612 2.714 2.381 2.377
29900 54 4173209 84 154 4282 55 107 3564 3.080 3.068 3.069
40780 142 4113221 204 381 11861 99 193 7842 2.901 2.845 2.845
15500 100 4113056 140 266 7281 71 137 5162 2.457 2.207 2.207
30800 12 4204509 12 24 1092 8 16 728 2.272 2.194 2.194
39950 111 4115041 142 266 6370 88 175 5201 2.536 2.377 2.393
1200 116 4104808 161 290 8508 87 161 5639 2.955 2.891 2.891
31560 44 4176400 35 67 2759 31 60 2482 1.998 1.962 1.957
40280 61 4111134 79 145 5088 4 4 30 2.330 0.870 0.000
26010 108 4113684 202 379 7819 74 147 4552 2.857 2.585 2.599
40600 43 4112314 76 134 3506 11 18 549 2.501 2.182 2.263
10200 85 4113916 106 193 6043 74 135 4787 2.682 2.577 2.577
21800 101 4115221 151 298 7711 86 163 5333 2.646 2.420 2.420
4100 168 4127403 219 401 11264 90 180 7268 2.509 2.233 2.241
15900 125 4154506 115 244 9969 112 235 9555 2.039 2.037 2.037
24300 89 4113536 139 241 6464 90 166 5324 2.256 2.126 2.125
25300 82 4113668 77 158 6168 73 149 5970 2.351 2.310 2.317
11700 92 4112660 128 252 6623 63 120 4517 2.675 2.338 2.379
40490 100 4115051 152 281 7712 119 223 6607 3.600 3.549 3.606
40620 31 4112454 160 223 2655 39 54 746 3.666 3.743 3.744
14900 44 4113718 137 245 3154 22 37 794 3.175 2.484 2.494
16400 135 4115231 113 214 7321 92 174 6751 2.117 2.026 2.026
40390 92 4088464 93 185 8029 93 185 8029 2.556 2.555 2.562
24400 98 4111589 131 232 8152 113 199 7374 2.401 2.346 2.346
31590 20 4205407 14 28 1274 9 18 819 2.026 1.924 2.278
31550 92 4115271 351 440 7869 188 211 4285 2.198 1.123 3.474
7700 211 4141701 243 430 13372 124 258 9622 2.927 2.863 2.863
13900 100 4115171 150 258 7745 121 206 6891 2.488 2.381 2.381
21500 140 4112256 248 433 8937 139 237 5955 2.872 2.520 2.612
40900 70 4913502 188 353 4327 22 35 368 3.480 2.901 3.319
175 FRONTIER REHAB & EXTENDED CARE 66.63 2.943
18146 GARDEN TERRACE HEALTHCARE CENTER OF FEDERAL
WAY
8.50 3.517
171 FOSS HOME & VILLAGE 71.96 2.927
174 FRANKLIN HILLS HEALTH & REHAB CENTER 88.97 2.488
169 FORKS COMMUNITY HOSPITAL, LTCU 64.29 2.224
170 FORT VANCOUVER POST ACUTE 54.45 3.355
165 FIRCREST SCHOOL, PAT N 100.00 2.562
167 FOREST RIDGE HEALTH & REHAB 90.46 2.401
96 FIDALGO CARE CENTER 25.17 3.178
164 FIR LANE HEALTH AND REHAB CTR 92.21 2.117
153 EVERETT CENTER 85.67 3.647
450 EVERETT TRANSITIONAL CARE SERV 28.10 3.666
151 EMERALD CARE 96.79 2.358
152 ENUMCLAW HEALTH & REHAB CENTER 68.20 2.707
147 DELTA REHABILITATION CENTER 95.85 2.039
141 DISCOVERY NURSING & REHAB OF VANCOUVER 82.36 2.255
144 CRESTWOOD HEALTH AND REHABILITATION CENTER 69.16 2.646
145 CRISTWOOD NURSING AND REHABILITATION 64.52 2.514
390 COVENANT SHORES HEALTH CENTER 15.66 2.515
143 CRESCENT HEALTH CARE, INC 79.22 2.682
138 CORWIN CENTER AT EMERALD HEIGHTS 0.59 2.338
139 COTTESMORE OF LIFE CARE 58.22 2.866
135 COLUMBIA LUTHERAN HOME 66.28 2.955
137 COLVILLE TRIBAL CONVALESCENT C 89.96 1.993
134 COLUMBIA BASIN HOSPITAL 66.67 2.272
352 COLUMBIA CREST CENTER 81.65 2.549
130 CHRISTIAN HEALTH CARE CENTER 66.12 2.901
133 COLONIAL VISTA POST-ACUTE & REHAB CENTER 70.90 2.457
230424 CENTRAL WASHINGTON HOSPITAL TRANSITIONAL CARE
UNIT
40.10 2.713
128 CHENEY CARE CENTER 83.23 3.081
122 CAROLINE KLINE GALLAND HOME 50.38 3.044
125 CASHMERE CONVALESCENT CENTER 89.79 1.975
118 CANTERBURY HOUSE 69.47 2.599
121 CAREAGE OF WHIDBEY 67.70 2.946
115 BUENA VISTA HEALTHCARE 42.14 2.651
116 BURIEN NURSING AND REHABILITATION CENTER 76.38 2.996
For Dates: 04/01/2017 to 06/30/2017
2017-Q2- Revised Preliminary-2017/08/07 Washington State – Aging and Long-Term Support Administration
Case Mix Index versus Case Mix Index Medicaid by Facility
CMX-020533-0
Report Run Date: 08/07/2017
Assessments Received as of: 08/04/2017
13100 101 4114377 113 227 8949 109 221 8720 2.282 2.290 2.291
15200 124 4115121 160 303 9167 142 268 8536 2.457 2.376 2.376
3500 105 4114229 190 395 8474 88 191 5723 2.844 2.652 2.652
8300 97 4143301 129 251 7403 66 129 5051 2.381 2.301 2.302
9100 105 4113569 71 142 4763 48 99 3851 2.385 2.281 2.281
35090 147 4110763 130 254 9006 120 229 8475 2.255 2.204 2.202
22900 119 4113098 115 236 8020 97 189 7171 1.989 1.828 1.844
14200 40 4152708 98 147 2730 21 33 946 2.945 2.448 2.446
35030 120 4113080 145 284 8169 89 171 6106 2.668 2.594 2.594
13800 44 4114729 48 100 3558 36 73 2714 2.163 2.112 2.112
40120 74 4110656 125 256 6215 26 51 1824 2.738 2.437 2.436
10500 140 4114070 195 410 9094 78 179 5843 2.842 2.487 2.487
2300 160 4114302 214 413 12856 130 271 9758 3.296 3.235 3.234
19200 96 4179701 167 333 7218 61 112 3446 2.872 2.440 2.517
25200 150 4167904 195 371 12011 151 292 10171 2.509 2.458 2.460
3600 20 4124103 32 58 1443 7 13 482 2.778 2.523 2.555
40540 100 4112215 108 222 8691 101 210 8206 2.892 2.889 2.889
5830 90 4112843 83 171 5853 73 153 5256 2.377 2.260 2.259
41000 30 4914476 52 103 2096 27 55 1210 3.051 2.825 3.032
40980 30 4914450 50 101 1739 22 37 823 3.370 3.165 3.157
39980 80 4112561 90 193 5486 61 125 4323 2.515 2.378 2.386
18100 98 4112652 99 187 5953 76 150 5304 2.063 1.980 1.979
10800 74 4115061 82 171 6175 71 146 5678 2.390 2.327 2.327
40420 93 4088472 72 150 6205 58 121 4931 2.456 2.498 2.524
40750 93 4113726 149 299 6708 59 116 3502 2.912 2.523 2.528
16500 157 4111076 111 226 7257 81 166 5985 2.444 2.251 2.249
20400 136 4113817 96 209 5073 59 125 3773 2.560 2.404 2.443
19100 190 4114195 251 466 10308 82 153 5308 2.688 2.168 2.176
11400 121 4113932 116 222 5811 72 126 4224 2.677 2.413 2.410
20900 125 4114187 158 300 8550 110 206 6575 2.353 2.257 2.259
5900 94 4111969 111 223 5349 56 111 3336 2.542 2.329 2.331
14600 102 4113874 176 329 8589 67 129 5054 2.510 2.207 2.207
20500 104 4113833 124 251 4932 52 111 2776 2.834 2.683 2.684
18400 150 4113882 148 306 8481 90 174 5795 2.592 2.364 2.373
41110 100 4915331 335 683 8372 29 58 621 3.418 3.322 3.527
15300 85 4112322 50 92 3343 42 77 3046 2.054 1.966 1.962
285691 LIFE CARE CENTER OF SOUTH HILL 7.42 3.432
206 LIFE CARE CENTER OF THE SAN JUAN ISLANDS 91.12 2.051
224 LIFE CARE CENTER OF RICHLAND 56.29 2.834
333 LIFE CARE CENTER OF SKAGIT VALLEY 68.33 2.599
211 LIFE CARE CENTER OF PORT TOWNSEND 62.37 2.544
358 LIFE CARE CENTER OF PUYALLUP 58.84 2.510
252 LIFE CARE CENTER OF MOUNT VERNON 72.69 2.675
291 LIFE CARE CENTER OF PORT ORCHARD 76.90 2.355
223 LIFE CARE CENTER OF KENNEWICK 74.37 2.590
215 LIFE CARE CENTER OF KIRKLAND 51.49 2.694
376 LANDMARK CARE AND REHABILITATION 52.21 2.916
162 LIFE CARE CENTER OF FEDERAL WAY 82.47 2.442
217 LAKE RIDGE CENTER 91.95 2.390
216 LAKELAND VILLAGE NURSING FACILITY 79.47 2.475
218 KINDRED TRANSITIONAL CARE & REHAB CENTER-
LAKEWOOD
78.80 2.521
360 KINDRED TRANSITIONAL CARE & REHAB CTR VANCOUVER 89.10 2.062
231134 KINDRED SEATTLE - FIRST HILL 57.73 3.171
220460 KINDRED SEATTLE - NORTHGATE 47.33 3.368
213 KIN ON HEALTH CARE CENTER 94.42 2.892
98 KINDRED NURSING AND REHABILITATION - ARDEN 89.80 2.376
326 KEIRO NORTHWEST 84.68 2.511
212 KENNEY, THE 33.40 2.789
209 JOSEPHINE SUNSET HOME 75.90 3.296
210 JUDSON PARK HEALTH CENTER 47.74 2.915
203 IDA CULVER HOUSE BROADVIEW NCC 29.35 2.738
207 ISSAQUAH NURSING AND REHABILITATION CENTER 64.25 2.842
191 HEARTWOOD EXTENDED HEALTHCARE 74.75 2.668
195 HIGHLAND HEALTH AND REHABILITATION 76.28 2.163
185 HEALTH AND REHABILITATION OF NORTH SEATTLE 89.41 2.004
190 HEARTHSTONE, THE 34.65 2.945
184 GRAYS HARBOR HEALTH & REHABILITATION CENTER 80.85 2.385
186 HALLMARK MANOR 94.10 2.253
181 GOOD SAMARITAN HEALTH CARE CTR 67.54 2.844
335 GOOD SAMARITAN SOCIETY - SPOKANE VALLEY 68.23 2.382
126 GARDEN VILLAGE 97.44 2.283
177 GARDENS ON UNIVERSITY, THE 93.12 2.457
For Dates: 04/01/2017 to 06/30/2017
2017-Q2- Revised Preliminary-2017/08/07 Washington State – Aging and Long-Term Support Administration
Case Mix Index versus Case Mix Index Medicaid by Facility
CMX-020533-0
Report Run Date: 08/07/2017
Assessments Received as of: 08/04/2017
40370 130 4112579 157 294 8779 108 203 7034 2.501 2.348 2.348
39930 113 4114096 221 379 8773 106 185 5632 2.703 2.381 2.385
29010 125 4114112 266 437 8691 94 171 4998 2.783 2.368 2.368
40040 120 4114088 159 301 7747 85 174 5897 2.683 2.428 2.427
31570 124 4114104 308 521 9225 158 273 6009 3.040 2.820 2.824
41020 120 4114484 263 474 9411 111 199 5978 2.825 2.465 2.490
40990 120 4914468 365 586 10410 104 179 4563 3.111 2.638 2.639
6100 190 4112165 271 482 14728 178 328 12200 2.773 2.671 2.671
8500 97 4115341 176 293 7533 113 195 5926 2.607 2.375 2.405
31300 42 4186706 54 101 3219 43 84 2937 2.230 2.132 2.132
4800 96 4186201 88 159 5943 76 141 5684 2.102 2.058 2.056
35330 94 4115241 179 347 7171 60 126 3919 2.801 2.321 2.356
40950 46 4115011 84 149 3374 8 12 428 2.752 1.877 2.016
40580 129 4113650 222 411 8455 73 147 4399 3.295 3.216 3.216
40590 94 4113692 159 323 6908 74 143 4202 2.926 2.722 2.721
12400 82 4114637 184 266 6578 70 123 4362 2.738 2.373 2.373
40270 70 4113338 136 225 4908 45 78 2368 2.808 2.657 2.657
25900 50 4202115 56 105 3892 43 79 3149 2.226 2.195 2.195
1900 63 4110045 57 107 3751 40 78 3129 2.363 2.269 2.269
16006 125 4110045 138 234 6593 89 155 5426 2.406 2.205 2.205
40760 122 4113486 142 286 7785 83 163 5749 2.521 2.257 2.259
23200 99 4111449 128 242 8212 89 168 6282 2.581 2.531 2.535
31500 42 4210704 41 82 3137 33 65 2572 2.073 2.083 2.082
40360 47 4915331 257 391 4029 44 53 530 3.360 2.000 3.632
17800 135 4115111 143 275 8022 95 195 6680 2.740 2.602 2.601
17200 147 4115311 253 426 11365 130 220 8159 2.591 2.406 2.445
5600 109 4114770 122 254 5991 61 129 3868 2.741 2.589 2.589
12500 104 4110094 92 166 5552 80 142 4865 2.937 2.884 2.891
12600 155 4150702 224 423 11732 52 94 3968 2.814 2.729 2.729
11300 165 4115401 112 232 8383 109 227 8262 2.588 2.566 2.567
10100 99 4114761 155 285 6474 69 122 3988 2.784 2.448 2.446
26060 115 4113510 144 345 9480 121 275 8237 2.787 2.703 2.840
24600 139 4114245 134 309 8888 100 226 7198 3.699 3.531 3.535
5100 50 4113361 42 86 3492 39 79 3193 2.108 2.074 2.074
25040 28 4111670 49 87 2149 7 10 352 2.636 2.180 2.479
5500 137 4113528 176 373 9717 122 258 7336 2.658 2.458 2.458
280 PARK SHORE 16.38 2.688
281 PARK WEST CARE CENTER 75.50 2.658
278 PARK ROSE CARE CENTER 80.99 3.702
279 PARK ROYAL HEALTH & REHAB CENTER 91.44 2.108
276 PARK MANOR REHABILITATION CTR 61.60 2.783
277 PARK RIDGE CARE CENTER 86.89 2.902
275 PANORAMA CITY CONV & REHAB CTR 33.82 2.814
17176 PARAMOUNT REHABILITATION AND NURSING 98.56 2.589
272 PACIFIC CARE AND REHABILITATION 64.56 2.741
273 PACIFIC SPECIALTY & REHAB CARE 87.63 2.942
158 OLYMPIA TRANSITIONAL CARE AND REHABILITATION 83.27 2.740
267 ORCHARD PARK HEALTH CARE & REHAB CENTER 71.79 2.620
258 NORTH VALLEY HOSPITAL 81.99 2.072
262 NORTHWOODS LODGE 13.15 3.559
100 NORTH CASCADES HEALTH AND REHABILITATION CENTER 73.85 2.523
257 NORTH CENTRAL CARE AND REHABILITATION 76.50 2.583
254 NISQUALLY VALLEY CARE CENTER 83.42 2.363
256 NORTH AUBURN REHAB & HEALTH CENTER 82.30 2.406
248 MT BAKER CARE CENTER 48.25 2.808
253 NEWPORT COMMUNITY HOSPITAL LTC 80.91 2.226
469 MONTESANO HEALTH & REHABILITATION 60.83 2.925
231 MOUNTAIN VIEW REHABILITATION AND CARE CENTER 66.31 2.738
161805 MIRABELLA SEATTLE 12.69 2.782
148 MISSION HEALTHCARE AT BELLEVUE 52.03 3.295
245 MESSENGER HOUSE CARE CENTER 95.64 2.099
246 MIRA VISTA CARE CENTER 54.65 2.824
238 MARYSVILLE CARE CENTER 78.67 2.634
240 MCKAY HEALTHCARE & REHAB CTR 91.24 2.230
225306 MANORCARE HEALTH SERVICES - SALMON CREEK 43.83 3.111
237 MARTHA AND MARY HEALTH SERVICE 82.84 2.773
234 MANOR CARE OF TACOMA WA, LLC 65.14 3.043
238348 MANORCARE HEALTH SERVICES - LACEY 63.52 2.842
235 MANOR CARE HEALTH SERVICES-SPO 57.51 2.783
233 MANOR CARE OF GIG HARBOR WA, LLC 76.12 2.683
228 LINDEN GROVE HEALTH CARE CENTER 80.12 2.501
236 MANOR CARE HEALTH SERVICES 64.20 2.707
For Dates: 04/01/2017 to 06/30/2017
2017-Q2- Revised Preliminary-2017/08/07 Washington State – Aging and Long-Term Support Administration
Case Mix Index versus Case Mix Index Medicaid by Facility
CMX-020533-0
Report Run Date: 08/07/2017
Assessments Received as of: 08/04/2017
33000 49 4114519 57 110 2857 35 72 2109 2.476 2.250 2.427
17600 83 4114500 148 274 6099 59 117 3567 2.665 2.157 2.157
4400 90 4114551 119 256 6467 68 141 4741 2.471 2.204 2.229
3300 88 4114586 88 177 5517 70 140 4981 2.229 2.109 2.109
17000 92 4114578 98 199 6158 48 96 3711 2.410 2.265 2.295
20000 80 4114543 126 282 6398 78 173 4758 2.868 2.661 2.661
18300 74 4114688 98 201 5292 52 106 3761 2.514 2.316 2.316
1600 128 4114696 185 353 8867 102 215 6733 2.559 2.311 2.316
41111 80 122 228 3287 32 61 1236 3.281 3.114 3.114
29080 117 4111779 207 355 7522 71 139 4425 2.574 2.163 2.219
40150 152 4110672 364 601 12465 141 254 8097 2.697 2.380 2.379
1400 215 4107702 390 615 16898 155 271 9050 2.755 2.730 2.729
23400 162 4114179 136 247 5266 53 104 3395 2.756 2.524 2.524
39990 40 4219408 46 96 3535 35 69 2781 2.144 2.028 2.028
31510 108 4115151 151 289 8313 114 216 7098 2.540 2.436 2.437
40960 96 4114344 227 408 8135 83 162 4806 2.850 2.445 2.452
23900 120 4114594 183 327 9870 127 236 8287 2.289 2.116 2.116
35010 117 4114670 144 307 9326 108 241 7839 3.346 3.324 3.337
15100 139 4114629 159 290 7864 85 165 5894 2.647 2.406 2.406
40640 120 4114328 180 345 9469 95 175 6578 3.105 2.990 2.990
40710 106 4114336 154 302 6646 77 145 4620 2.642 2.304 2.304
40920 92 4114252 133 251 6928 68 131 4501 2.507 2.225 2.225
2400 70 4114294 97 184 5291 63 123 4341 2.821 2.707 2.707
16800 54 4115361 58 126 4457 47 103 3846 2.117 2.063 2.063
40660 53 4115371 77 205 4501 30 83 2309 3.142 3.046 3.046
20600 64 4114310 70 150 4311 60 129 3910 2.248 2.165 2.165
33700 28 4114237 50 104 2258 27 49 1290 2.874 2.528 2.528
41030 56 4114796 73 170 4458 50 108 3346 2.446 2.237 2.237
15700 55 4115391 95 194 4438 44 84 2764 2.564 2.197 2.196
12700 99 4113783 117 229 7950 115 227 7946 2.461 2.447 2.449
40910 71 4114527 212 458 6121 43 89 1271 3.299 3.070 3.139
40410 140 4113460 214 374 11267 147 265 9300 2.459 2.318 2.318
18200 91 4115141 113 224 7422 101 191 6852 2.303 2.224 2.243
15800 75 4154407 132 276 6293 31 64 2043 3.071 3.085 3.085
10030 20 4112835 21 39 1507 4 7 337 2.176 2.148 2.148
25020 45 4945700 57 96 2972 2 2 44 2.098 1.118 0.000
4601 ROCKWOOD AT HAWTHORNE 22.36 2.176
318 ROCKWOOD SOUTH HILL 1.48 2.111
315 RIVERSIDE NURSING & REHAB CTR 92.32 2.320
317 RIVERVIEW CARE CENTER 32.46 3.071
46108 RICHLAND REHABILITATION CENTER 20.76 3.314
313 RICHMOND BEACH REHAB 82.54 2.459
310 REGENCY WENATCHEE REHABILIATION & NURSING
CENTER
62.28 2.564
304 RENTON NURSING AND REHABILITATION CENTER 99.95 2.463
52448 REGENCY OLYMPIA REHABILITATION AND NURSING
CENTER
57.13 2.874
355 REGENCY OMAK 75.06 2.446
429 REGENCY KENNEWICK REHAB & NURSING CENTER 51.30 3.142
249 REGENCY NORTH BEND REHAB & NURSING CENTER 90.70 2.248
168 REGENCY EVERETT REHABILITATION AND NURSING
CENTER
82.04 2.821
189 REGENCY HARMONY HOUSE REHAB & NURSING 86.29 2.117
309 REGENCY AT THE PARK 69.52 2.642
307 REGENCY CARE CENTER AT MONROE 64.97 2.507
124 REDMOND CARE AND REHABILITATION CENTER 74.95 2.647
409 REGENCY AT NORTHPOINTE 69.47 3.105
300 QUEEN ANNE HEALTHCARE 83.96 2.289
302 RAINIER REHABILITATION 84.06 3.357
299 PUGET SOUND HEALTHCARE CENTER 85.38 2.541
303 PUYALLUP NURSING AND REHABILITATION CENTER 59.08 2.856
338 PROVIDENCE ST JOSEPH CARE CENTER 64.47 2.756
339 PROVIDENCE ST JOSEPH HOSPITAL 78.67 2.144
297 PROVIDENCE MOTHER JOSEPH CARE 64.96 2.696
250 PROVIDENCE MOUNT ST VINCENT 53.56 2.754
296265 PRESTIGE POST-ACUTE AND REHAB CENTER - EDMONDS 37.60 3.281
295 PROVIDENCE MARIANWOOD 58.83 2.613
214 PRESTIGE POST-ACUTE & REHAB CTR - KITTITAS VALLLEY 71.07 2.514
220 PRESTIGE POST-ACUTE AND REHAB CENTER - CENTRALIA 75.93 2.563
288 PRESTIGE CARE & REHABILITATION - PINEWOOD TERRACE 60.26 2.428
201 PRESTIGE CARE & REHABILITATION - SUNNYSIDE 74.37 2.868
131 PRESTIGE CARE & REHABILITATION - CLARKSTON 73.31 2.491
283 PRESTIGE CARE & REHABILITATION - PARKSIDE 90.28 2.229
117 PRESTIGE CARE & REHABILITATION - BURLINGTON 73.82 2.611
196 PRESTIGE CARE & REHABILITATION - CAMAS 58.48 2.665
For Dates: 04/01/2017 to 06/30/2017
2017-Q2- Revised Preliminary-2017/08/07 Washington State – Aging and Long-Term Support Administration
Case Mix Index versus Case Mix Index Medicaid by Facility
CMX-020533-0
Report Run Date: 08/07/2017
Assessments Received as of: 08/04/2017
18500 96 4172904 116 211 6921 86 163 5680 2.349 2.289 2.291
40170 164 4114712 265 523 14501 158 315 10932 2.685 2.511 2.519
100 47 4113239 56 114 3329 37 81 2777 3.005 2.979 2.979
2100 52 4115461 72 125 3501 41 68 2511 2.352 2.185 2.188
40450 100 4111613 50 95 4321 50 95 4321 2.079 2.068 2.068
35900 103 4112280 103 222 7735 93 197 7100 3.616 3.577 3.622
33600 39 4111084 47 95 2737 30 56 2098 2.325 2.153 2.153
40930 100 4115131 181 398 8434 63 132 4094 3.132 2.755 2.755
36600 42 4113049 97 208 3157 28 61 1224 3.175 2.968 2.968
40700 76 4113247 115 249 6257 71 158 4821 2.338 2.158 2.162
13300 114 4115261 159 310 8150 91 184 5943 2.788 2.559 2.559
9000 52 4115451 109 183 3926 34 56 2075 2.623 2.045 2.143
41112 36 4115381 78 171 2886 16 28 716 3.087 2.894 2.893
35050 91 4114745 98 170 5818 72 128 4947 2.178 2.033 2.033
35060 100 4000121 126 271 8447 53 121 4212 2.186 2.134 2.134
39960 54 4914385 90 163 2546 8 8 43 3.127 2.138 0.000
5000 120 4113981 175 300 8862 99 184 6573 2.605 2.447 2.469
8700 165 4113643 233 384 9485 97 180 6274 3.024 2.841 2.844
17900 102 4157509 151 296 8240 111 216 6982 2.940 2.834 2.834
18700 96 4158804 152 315 7452 88 201 5768 3.011 2.934 2.934
40130 57 4110664 73 141 4371 39 77 2936 2.322 2.181 2.181
40160 125 4113452 249 461 10771 97 172 6198 2.588 2.116 2.116
6000 78 4135901 87 186 5926 55 116 4336 2.872 2.869 2.869
6600 59 4111662 58 109 3962 41 80 2973 2.919 2.964 2.964
2600 84 4110508 163 327 6853 63 120 3780 2.940 2.619 2.630
19700 187 4160107 289 514 13029 138 272 8090 2.610 2.455 2.454
17400 150 4113775 134 270 8974 123 244 8460 2.092 2.027 2.047
17500 136 4113114 172 322 8321 108 201 6705 2.438 2.281 2.341
19400 65 4115251 71 120 4680 68 114 4407 2.455 2.480 2.479
40970 34 4914401 90 170 2769 0 0 0 3.215 0.000 0.000
22200 75 4113544 83 156 5691 74 139 5370 2.259 2.216 2.216
40520 57 4912010 136 246 4836 8 8 166 3.088 0.886 0.000
40250 120 4110987 116 238 6145 51 105 3989 2.502 2.221 2.247
40800 30 4113312 39 76 2380 23 44 1520 2.221 2.200 2.200
24900 83 4114062 78 146 5008 63 116 4166 2.271 2.172 2.172
22600 59 4164505 70 121 4056 44 76 2781 2.586 2.591 2.648
284 VICTORY REHABILITATION AND HEALTHCARE CENTER LLC 83.19 2.271
364 WARM BEACH HEALTH CARE CENTER 68.57 2.622
354 UNIVERSITY PLACE CARE CENTER 64.91 2.521
359 VASHON COMMUNITY CARE CENTER 63.87 2.221
356 TOPPENISH NURSING & REHAB CENTER 94.36 2.259
369 TOUCHMARK ON SOUTH HILL NURSING 3.43 3.161
351 TEKOA CARE CENTER 94.17 2.453
160 THE TERRACES AT SKYLINE 0.00 3.215
305 TACOMA NURSING AND REHABILITATION CENTER 94.27 2.110
350 TALBOT CENTER FOR REHAB & HEALTHCARE 80.58 2.486
346 SUNSHINE GARDENS 55.16 2.947
348 TACOMA LUTHERAN HOME 62.09 2.609
344 SUMMITVIEW HEALTHCARE CENTER 73.17 2.872
345 SUNRISE VIEW CONVALESCENT CTR 75.04 2.919
342 STAFHOLT GOOD SAMARITAN CENTER 67.17 2.322
343 SULLIVAN PARK CARE CENTER 57.54 2.588
104 STAFFORD HEALTHCARE AT BELMONT 84.73 2.940
314 STAFFORD HEALTHCARE AT RIDGEMONT 77.40 3.011
337 ST FRANCIS OF BELLINGHAM 74.17 2.622
28397 STAFFORD HEALTHCARE 66.15 3.027
2843 SPOKANE VETERANS HOME 49.86 2.186
336 SPRINGS AT PACIFIC REGENT, THE 1.69 3.143
305336 SKILLED NURSING FACILITY, MANAGED BY WESLEY
HOMES
24.81 3.087
244 SNOHOMISH HEALTH AND REHABILITATION 85.03 2.178
287 SHORELINE HEALTH AND REHABILITATION 72.92 2.788
332 SHUKSAN HEALTHCARE CENTER 52.85 2.691
330 SHARON CARE CENTER 38.77 3.175
750 SHELTON HEALTH & REHAB CENTER 77.05 2.341
329 SELAH CARE AND REHABILITATION 76.65 2.325
290 SEQUIM HEALTH & REHABILITATION 48.54 3.132
324 SEA MAR COMMUNITY CARE CENTER 100.00 2.079
327 SEATTLE MEDICAL POST ACUTE CARE 91.79 3.655
242 SAINT ANNE NURSING AND REHABILITATION CENTER 83.42 3.005
323 SAN JUAN REHAB AND CARE CENTER 71.72 2.354
319 ROO-LAN HEALTHCARE CENTER 82.07 2.351
321 ROYAL PARK HEALTH AND REHABILITATION 75.39 2.692
For Dates: 04/01/2017 to 06/30/2017
2017-Q2- Revised Preliminary-2017/08/07 Washington State – Aging and Long-Term Support Administration
Case Mix Index versus Case Mix Index Medicaid by Facility
CMX-020533-0
Report Run Date: 08/07/2017
Assessments Received as of: 08/04/2017
8900 165 4113940 226 420 13457 161 307 10742 2.368 2.319 2.322
5700 117 4135109 139 301 8986 76 155 5413 2.685 2.517 2.550
40340 97 4000014 80 160 6086 41 83 3202 2.285 2.117 2.117
40330 240 4000006 260 526 20489 159 335 13577 2.138 1.944 1.944
18900 148 4113825 196 371 11598 111 215 7921 2.890 2.832 2.832
6400 55 4112405 61 140 3671 35 75 2455 2.783 2.476 2.510
25100 60 4113577 54 120 2831 30 69 1777 3.253 3.214 3.214
10300 75 4113924 124 231 5713 71 124 3897 2.603 2.418 2.418
21400 62 4174900 79 144 4678 56 104 3772 2.677 2.608 2.626
700 160 4015004 114 200 6515 111 197 6473 2.074 2.071 2.109
221 21,120 221 28,730 55,789 1,478,545 15,809 31,105 1,045,554 2.652 2.459 2.476Report Totals: Facility Count: 70.72 2.664
Medicaid Days: 1,045,554 1,034,518
375 WOODLAND CONVALESCENT CENTER 80.63 2.691
377 YAKIMA VALLEY SCHOOL 99.36 2.107
374 WILLAPA HARBOR HEALTH AND REHAB 62.77 3.253
311 WILLOW SPRINGS CARE AND REHABILITATION 68.21 2.603
371 WESLEY HOMES HEALTH CENTER 68.30 2.890
373 WHITMAN HEALTH & REHAB CENTER 66.88 2.808
367 WASHINGTON SOLDIERS HOME 52.61 2.285
368 WASHINGTON VETERAN HOME-RETSIL 66.26 2.138
365 WASHINGTON CENTER FOR COMPREHE 79.82 2.370
366 WASHINGTON ODD FELLOWS HOME 60.24 2.705
