5hsruw 5xq 'dwh

2021-S2-Final-2021/11/08 Washington State – Aging and Long-Term Support Administration CMX-020533-0 Case Mix Index versus Case Mix Index Medicaid by Facility Report Run Date: 11/08/2021

Assessments Received as of: 11/05/2021

For Dates: 04/01/2021 to 09/30/2021 of 1

FA

CIL

I T

Y ID

Name Loc Nmbr

Lic Beds

Provider Number

Total Rsdnts

Stay Period Count

Total Days for All

Rsdnts

Average Case Mix Index:

Medicaid Residents With Default W/O Default

Rsdnt Count

Stay Period Count

Days % Fac Medicaid Fac Medicaid

172

93

94

95

154

283

304

350

354

306

221

7435

269

ALASKA GARDENS HEALTH AND REHABILITATION

ALDERCREST HEALTH & REHAB CENTER

ALDERWOOD MANOR

ALDERWOOD PARK HEALTH AND REHABILITATION

AMERICANA HEALTH & REHAB CTR

ARCADIA HEALTHCARE -PARKSIDE

ARCADIA HEALTHCARE -RENTON

ARCADIA HEALTHCARE -TALBOT

ARCADIA HEALTHCARE -UNIVERSITY PLACE

ARLINGTON HEALTH AND REHABILITATION

AUBURN POST ACUTE

AVALON CARE CENTER -FEDERAL WAY

AVALON CARE CENTER -OTHELLO LLC

40350

21300

33200

12900

14100

3300

12700

17500

40250

18800

32400

40790

19800

123

128

85

102

74

88

99

136

120

76

96

120

39

4116031

4115571

4111027

4114737

4116041

4116401

4115541

4116261

4116281

4113346

4116421

4113551

4113593

117

182

92

123

84

69

123

167

71

114

132

318

48

246

321

222

301

186

137

282

327

208

218

240

463

100

10340

14315

9823

12290

7597

6116

12912

14064

10159

8859

10180

17199

4331

86

130

72

82

64

51

103

129

59

51

97

145

33

212

261

184

235

165

115

259

273

177

129

194

267

80

9749

12657

8880

10116

7088

5552

12443

12673

8614

6272

8885

11886

3707

94.28

88.42

90.40

82.31

93.30

90.78

96.37

90.11

84.79

70.80

87.28

69.11

85.59

2.280

2.703

2.669

2.652

2.601

2.591

2.390

2.641

2.516

2.626

2.630

2.648

2.476

2.205

2.594

2.584

2.615

2.566

2.525

2.356

2.559

2.500

2.357

2.535

2.399

2.441

2.280 2.205

2.702 2.592

2.669 2.584

2.652 2.615

2.601 2.566

2.593 2.528

2.393 2.359

2.645 2.562

2.516 2.500

2.628 2.359

2.674 2.587

2.648 2.399

2.476 2.441



For Dates: 04/01/2021 to 09/30/2021 Page 1 of 1

274 AVALON CARE CENTER -PULLMAN

AVALON CARE CENTER AT NORTHPOINTE

AVALON HEALTH & REHABILITATION CENTER -PASCO AVAMERE AT PACIFIC RIDGE

AVAMERE BELLINGHAM HEALTH CARE & REHAB SERVICES AVAMERE HERITAGE REHABILITATION OF TACOMA AVAMERE OLYMPIC REHABILITATION OF SEQUIM

AVAMERE REHABILITATION OF CASCADE PARK

AVAMERE TRANSITIONAL CARE OF PUGET SOUND

BAILEY-BOUSHAY HOUSE

BAINBRIDGE ISLAND HEALTH & REHAB CENTER

BALLARD CENTER

BAYVIEW MANOR

BEACON HILL REHABILITATION

BENSON HEIGHTS REHABILITATION CENTER

21200 48 4113619 72 135 4208 29 67 2675 63.57 2.749 2.477

109 40510 119 4113585 242 429 14979 108 240 10887 72.68 2.608 2.432

110 19900 108 4113627 130 260 8005 63 134 5126 64.03 2.850 2.796

349 28000 102 4114054 126 314 14163 104 277 13159 92.91 2.431 2.400

103 19300 84 4114602 98 223 10984 74 193 9958 90.66 2.475 2.391

192 16100 81 4114039 128 252 10672 101 217 9672 90.63 2.457 2.365

266 26500 90 4113742 215 431 13467 68 207 8977 66.66 2.768 2.578

123 40470 88 4115081 432 530 14110 145 218 7746 54.90 2.920 2.779

316759 41114 60 4115421 361 404 9590 79 93 3053 31.84 3.112 3.083

99 40260 35 4111068 37 101 5321 37 101 5321 100.00 2.169 2.144

205 23300 69 4115101 89 201 8328 53 156 7188 86.31 2.451 2.433

204 25060 142 4116221 243 481 21086 210 442 19993 94.82 2.537 2.498

101 9400 50 4146106 120 178 6682 19 40 1938 29.00 2.692 2.097

260 34100 67 4114661 130 246 9617 65 157 6942 72.18 2.917 2.771

126966 35400 91 4113635 96 263 13973 90 254 13608 97.39 2.380 2.371

2.837 2.609

2.610 2.434

2.850 2.796

2.429 2.399

2.476 2.393

2.456 2.364

2.801 2.625

2.920 2.779

3.111 3.082

2.207 2.186

2.455 2.437

2.537 2.498

2.711 2.144

2.917 2.771

2.381 2.373




107 BETHANY AT PACIFIC

BETHANY AT SILVER LAKE

BOOKER REST HOME

BOTHELL HEALTH CARE

BREMERTON CONVALESCENT & REHABILITATION CENTER BRIARWOOD AT TIMBER RIDGE

BROOKFIELD HEALTH AND REHAB OF CASCADIA

BUENA VISTA HEALTHCARE

BURIEN NURSING AND REHABILITATION CENTER

CANTERBURY HOUSE

CAROLINE KLINE GALLAND HOME

CASHMERE POST ACUTE

CHENEY CARE CENTER

CHRISTIAN HEALTH CARE CENTER

COLONIAL VISTA POST-ACUTE & REHAB CENTER

40740 80 4112900 315 415 12835 122 205 8089 63.02 3.283 3.157

106 40020 151 4110490 274 435 17432 132 274 13818 79.27 2.736 2.618

112 40010 23 4210001 29 62 3241 21 42 2000 61.71 1.815 1.788

222 12100 99 4114393 268 421 15787 95 202 8914 56.46 3.368 3.369

114 13700 125 4115581 185 380 16651 145 322 14772 88.72 2.561 2.497

126885 40940 45 4914138 58 144 7458 0 0 0 0.00 2.166 0.000

284 24900 83 4115521 153 229 7999 73 140 6177 77.22 2.739 2.589

115 40670 40 4115021 68 133 5856 26 68 3555 60.71 2.865 2.687

116 9900 140 4115831 196 345 14081 135 271 11898 84.50 2.672 2.583

118 4500 100 4116061 239 379 13884 135 256 11097 79.93 2.654 2.456

122 23500 205 4165809 537 903 34907 206 440 20626 59.09 3.184 3.227

125 25000 85 4115881 134 286 14874 105 252 13759 92.50 2.329 2.278

128 29900 54 4173209 110 210 8965 60 130 6008 67.02 3.268 3.267

130 40780 142 4113221 157 343 16515 75 204 10599 64.18 2.915 2.972

133 15500 100 4113056 89 186 8585 59 141 7199 83.86 2.488 2.393

3.286 3.162

2.736 2.618

1.807 1.774

3.368 3.369

2.560 2.497

2.166 0.000

2.739 2.589

2.865 2.687

2.672 2.583

2.655 2.457

3.184 3.227

2.329 2.278

3.268 3.267

2.915 2.971

2.489 2.395




352 COLUMBIA CREST CENTER

COLUMBIA LUTHERAN HOME

COLVILLE TRIBAL CONVALESCENT C

CORWIN CENTER AT EMERALD HEIGHTS

COTTESMORE OF LIFE CARE

COVENANT SHORES HEALTH CENTER

CRESCENT HEALTH CARE, INC

CRESTWOOD HEALTH AND REHABILITATION CENTER

DISCOVERY NURSING & REHAB OF VANCOUVER

ELISEO

EMERALD CARE

ENUMCLAW HEALTH & REHAB CENTER

EVERETT CENTER

EVERETT TRANSITIONAL CARE SERVICES

FIR LANE HEALTH AND REHAB CTR

39950 111 4115041 146 261 10464 93 195 8614 82.32 2.777 2.732

135 1200 116 4104808 162 296 12837 82 200 10244 79.80 2.786 2.693

137 31560 44 4176400 35 93 5175 32 86 4756 91.90 2.086 2.069

138 40280 61 4111134 69 143 7313 2 4 184 2.52 2.474 2.716

139 26010 108 4113684 206 340 11707 66 163 7733 66.05 2.631 2.439

390 40600 43 4112314 103 160 5689 20 46 2125 37.35 2.395 2.002

143 10200 85 4113916 130 244 11786 69 154 8319 70.58 2.739 2.579

144 21800 101 4115621 154 324 14039 103 259 12138 86.46 2.423 2.341

141 24300 89 4113536 124 260 10731 78 194 9302 86.68 2.224 2.124

348 19700 187 4160107 281 481 19646 122 262 13356 67.98 2.649 2.524

151 25300 82 4113668 113 277 13587 107 268 13103 96.44 2.688 2.676

152 11700 92 4116021 92 201 9012 68 169 8137 90.29 2.341 2.262

153 40490 100 4115051 152 378 14224 122 330 12856 90.38 3.734 3.728

325357 41119 31 4916171 57 106 5280 55 104 5274 99.89 2.544 2.543

164 16400 135 4116341 158 307 14452 119 258 12916 89.37 2.613 2.558

2.789 2.747

2.786 2.693

2.087 2.069

2.474 2.711

2.636 2.447

2.461 2.156

2.749 2.593

2.423 2.341

2.224 2.124

2.648 2.523

2.688 2.676

2.341 2.261

3.734 3.728

2.544 2.543

2.613 2.557

2021-S2-Final-2021/11/08

165

167

169

170

171

174

175

18146

126

177

181

335

342

184

186

FIRCREST SCHOOL, PAT N

FOREST RIDGE HEALTH & REHAB

FORKS COMMUNITY HOSPITAL, LTCU

FORT VANCOUVER POST ACUTE

FOSS HOME & VILLAGE

FRANKLIN HILLS HEALTH & REHAB CENTER

FRONTIER REHAB & EXTENDED CARE

GARDEN TERRACE HEALTHCARE CENTER OF FEDERAL WAY GARDEN VILLAGE

GARDENS ON UNIVERSITY, THE

GOOD SAMARITAN HEALTH CARE CTR

GOOD SAMARITAN SOCIETY -SPOKANE VALLEY

GOOD SAMARITAN SOCIETY -STAFHOLT

GRAYS HARBOR HEALTH & REHABILITATION CENTER

HALLMARK MANOR

Washington State – Aging and Long-Term Support Administration CMX-020533-0 Case Mix Index versus Case Mix Index Medicaid by Facility Report Run Date: 11/08/2021



40390 110 4088464 109 332 19574 99 302 17744 90.65 2.495 2.526

24400 98 4115601 115 255 12076 99 233 11376 94.20 2.547 2.499

31590 20 4205407 21 59 3380 16 43 2434 72.01 2.237 2.331

31550 92 4115991 172 235 6466 78 129 4633 71.65 2.537 2.463

7700 211 4141701 196 393 18284 107 272 14579 79.74 2.905 2.829

13900 100 4116321 120 237 10733 112 226 10295 95.92 2.731 2.690

21500 140 4112256 139 297 11207 81 230 9668 86.27 2.590 2.463

40900 70 4913502 254 290 7229 55 60 1208 16.71 3.083 2.787

13100 101 4114377 99 293 15599 94 281 14876 95.37 2.753 2.776

15200 124 4115661 154 316 14143 127 282 13025 92.10 2.467 2.414

3500 105 4114229 177 327 13835 81 197 9920 71.70 2.681 2.513

8300 97 4143301 98 215 11329 58 150 8601 75.92 2.211 2.130

40130 57 4115871 43 116 6506 30 88 5138 78.97 2.156 2.148

9100 105 4113569 90 231 10066 57 167 7499 74.50 2.560 2.492

35090 147 4110763 152 353 17021 128 322 15902 93.43 2.528 2.491

2.495 2.526

2.548 2.500

2.237 2.331

2.538 2.465

2.904 2.828

2.731 2.690

2.588 2.461

3.131 3.085

2.754 2.777

2.465 2.412

2.681 2.513

2.230 2.157

2.156 2.148

2.560 2.492

2.528 2.491

2021-S2-Final-2021/11/08

190

191

318687

195

207

209

210

213

217

216

376

305336

162

223

215

HEARTHSTONE, THE

HEARTWOOD EXTENDED HEALTHCARE

HERON'S KEY

HIGHLAND HEALTH AND REHABILITATION

ISSAQUAH NURSING AND REHABILITATION CENTER

JOSEPHINE CARING COMMUNITY

JUDSON PARK HEALTH CENTER

KIN ON HEALTH CARE CENTER

LAKE RIDGE CENTER

LAKELAND VILLAGE NURSING FACILITY

LANDMARK CARE AND REHABILITATION

LEA HILL REHABILITATION AND CARE CENTER

LIFE CARE CENTER OF FEDERAL WAY

LIFE CARE CENTER OF KENNEWICK

LIFE CARE CENTER OF KIRKLAND




14200 40 4152708 76 161 5021 10 26 1382 27.52 2.521 2.079

35030 120 4116181 183 372 17159 146 321 15679 91.37 2.485 2.423

41115 30 4915551 71 105 3765 4 4 20 0.53 2.697 1.279

13800 44 4114729 41 113 5105 33 102 4755 93.14 2.405 2.346

10500 140 4114070 165 314 13515 92 216 10117 74.86 2.872 2.754

2300 160 4114302 254 509 22637 139 347 17487 77.25 3.195 3.151

19200 96 4179701 218 364 13556 70 178 8805 64.95 2.570 2.257

40540 100 4112215 106 265 13429 97 249 12779 95.16 3.237 3.218

10800 74 4115061 95 245 12085 76 207 10296 85.20 2.378 2.335

40420 93 4088472 86 272 14955 85 269 14772 98.78 2.463 2.464

40750 93 4113726 168 303 12086 64 154 7316 60.53 2.929 2.644

41112 36 4115511 142 179 6166 17 27 1235 20.03 3.075 2.458

16500 157 4111076 164 373 16234 156 358 15890 97.88 2.467 2.436

20400 136 4113817 173 271 9486 77 156 6899 72.73 2.808 2.596

19100 190 4114195 291 417 13807 94 190 8514 61.66 2.831 2.618

2.521 2.079

2.485 2.423

2.704 0.000

2.405 2.346

2.873 2.754

3.195 3.151

2.588 2.282

3.237 3.218

2.378 2.334

2.464 2.464

2.930 2.646

3.121 2.651

2.476 2.445

2.811 2.599

2.836 2.625

2021-S2-Final-2021/11/08

252

291

211

358

224

333

285691

228

230

236

235

233

234

238348

225306

LIFE CARE CENTER OF MOUNT VERNON

LIFE CARE CENTER OF PORT ORCHARD

LIFE CARE CENTER OF PORT TOWNSEND

LIFE CARE CENTER OF PUYALLUP

LIFE CARE CENTER OF RICHLAND

LIFE CARE CENTER OF SKAGIT VALLEY

LIFE CARE CENTER OF SOUTH HILL

LINDEN GROVE HEALTH CARE CENTER

LYNNWOOD POST ACUTE REHABILITATION CENTER

MANOR CARE HEALTH SERVICES (LYNNWOOD)

MANOR CARE HEALTH SERVICES-SPO

MANOR CARE OF GIG HARBOR WA, LLC

MANOR CARE OF TACOMA WA, LLC

MANORCARE HEALTH SERVICES - LACEY

MANORCARE HEALTH SERVICES - SALMON CREEK




11400 121 4113932 134 260 10808 94 210 9450 87.44 2.676 2.626

20900 125 4114187 157 320 13261 92 238 11159 84.15 2.354 2.176

5900 94 4111969 108 205 9559 58 130 6690 69.99 2.530 2.428

14600 102 4113874 131 268 11418 90 222 10382 90.93 2.499 2.422

20500 104 4113833 140 244 8782 73 156 6334 72.12 2.819 2.694

18400 150 4113882 168 349 13491 105 243 11591 85.92 3.117 3.071

41110 100 4915331 317 360 8793 23 25 510 5.80 3.262 3.121

40370 130 4116191 276 526 18351 166 384 14774 80.51 3.021 2.937

7600 67 4114788 147 243 9308 61 126 5891 63.29 3.236 3.108

39930 113 4115931 204 352 14225 93 211 10912 76.71 2.285 2.024

29010 125 4115961 253 395 13190 109 211 9125 69.18 2.507 2.270

40040 120 4115751 147 265 11575 76 174 8929 77.14 2.346 2.164

31570 124 4115781 333 534 17351 175 340 14081 81.15 2.620 2.457

41020 120 4115951 230 380 13183 88 204 9469 71.83 2.433 2.117

40990 120 4115941 316 458 12169 120 222 8519 70.01 2.816 2.605

2.685 2.637

2.354 2.176

2.531 2.429

2.499 2.422

2.819 2.694

3.117 3.071

3.278 3.438

3.021 2.937

3.242 3.118

2.285 2.024

2.515 2.281

2.347 2.165

2.621 2.458

2.433 2.117

2.816 2.605

2021-S2-Final-2021/11/08

237

238

240

246

161805

148

322513

469

231

248

256

100

257

258

262

MARTHA AND MARY HEALTH SERVICE

MARYSVILLE CARE CENTER

MCKAY HEALTHCARE & REHAB CTR

MIRA VISTA CARE CENTER

MIRABELLA SEATTLE

MISSION HEALTHCARE AT BELLEVUE

MISSION HEALTHCARE AT RENTON

MONTESANO HEALTH -REHAB CENTER

MOUNTAIN VIEW REHABILITATION AND CARE CENTER MT BAKER CARE CENTER

NORTH AUBURN REHAB & HEALTH CENTER

NORTH CASCADES HEALTH AND REHABILITATION CENTER NORTH CENTRAL CARE CENTER

NORTH VALLEY HOSPITAL

NORTHWOODS LODGE




6100 135 4112165 142 390 20945 120 347 18998 90.70 2.850 2.860

8500 97 4115341 116 189 8309 54 118 6379 76.77 2.757 2.629

31300 42 4186706 38 87 4932 26 67 3875 78.57 2.593 2.606

35330 94 4115241 171 326 13662 115 264 11971 87.62 2.675 2.587

40950 46 4115011 81 130 5213 6 15 799 15.33 2.679 1.746

40580 69 4113650 223 284 6307 33 52 1403 22.25 3.057 2.425

41118 60 4115841 223 254 5888 39 51 1295 21.99 3.261 2.639

40590 94 4116241 187 363 13745 95 230 9995 72.72 2.663 2.562

12400 82 4114637 154 274 11246 69 164 7905 70.29 2.887 2.694

40270 70 4113338 160 249 9918 33 69 3582 36.12 2.853 2.637

16006 125 4115561 93 179 8729 84 169 8491 97.27 2.599 2.577

40760 122 4113486 191 360 16017 94 234 12045 75.20 2.651 2.497

23200 99 4115711 111 220 11283 87 181 9662 85.63 2.343 2.301

31500 42 4210704 41 113 6206 32 91 4866 78.41 2.232 2.201

40360 57 4115891 368 402 7721 52 63 1493 19.34 2.623 2.221

2.850 2.860

2.775 2.653

2.591 2.603

2.675 2.586

2.680 1.747

3.061 2.435

3.271 2.674

2.668 2.568

2.890 2.699

2.853 2.636

2.600 2.578

2.650 2.497

2.342 2.301

2.232 2.201

2.671 2.450

2021-S2-Final-2021/11/08

158

267

272

275

276

277

278

280

281

117

196

131

288

201

214

OLYMPIA TRANSITIONAL CARE AND REHABILITATION

ORCHARD PARK HEALTH CARE & REHAB CENTER

PACIFIC CARE AND REHABILITATION

PANORAMA CITY CONV & REHAB CTR

PARK MANOR REHABILITATION CTR

PARK RIDGE CARE CENTER

PARK ROSE CARE CENTER

PARK SHORE

PARK WEST CARE CENTER

PRESTIGE CARE & REHABILITATION -BURLINGTON PRESTIGE CARE & REHABILITATION - CAMAS

PRESTIGE CARE & REHABILITATION -CLARKSTON PRESTIGE CARE & REHABILITATION -PINEWOOD TERRACE PRESTIGE CARE & REHABILITATION -SUNNYSIDE PRESTIGE POST-ACUTE & REHAB CTR - KITTITAS VALLLEY




17800 135 4115111 186 336 15618 91 220 11575 74.11 3.051 2.982

17200 147 4115311 415 610 19148 361 540 17553 91.67 2.649 2.615

5600 109 4114770 118 289 10776 69 198 7622 70.73 3.042 3.079

12600 155 4150702 191 445 19400 48 133 7534 38.84 2.840 2.821

10100 99 4114761 168 320 12869 68 175 8048 62.54 2.890 2.860

26060 115 4113510 197 363 14307 96 211 9694 67.76 2.769 2.481

24600 139 4114245 170 339 14714 113 259 11731 79.73 3.618 3.595

25040 28 4111670 39 76 3517 6 14 736 20.93 2.181 1.517

5500 137 4115801 156 334 15282 103 252 12453 81.49 2.236 2.176

33000 49 4114519 12 12 108 9 9 76 70.37 1.876 1.816

17600 83 4114500 191 305 10729 76 160 7248 67.56 2.442 2.228

4400 90 4114551 120 225 9778 82 179 8414 86.05 2.518 2.393

17000 92 4114578 95 255 10907 68 202 8914 81.73 2.113 2.065

20000 80 4114543 128 243 10367 74 172 8205 79.15 2.641 2.497

18300 74 4114688 122 212 9222 59 124 6100 66.15 2.483 2.228

3.057 2.991

2.649 2.615

3.057 3.101

2.840 2.821

2.910 2.893

2.773 2.486

3.627 3.607

2.182 1.521

2.236 2.176

1.876 1.816

2.442 2.228

2.527 2.404

2.113 2.065

2.641 2.497

2.483 2.228




220 PRESTIGE POST-ACUTE AND REHAB CENTER - CENTRALIA

PRESTIGE POST-ACUTE AND REHAB CENTER - EDMONDS

PROVIDENCE MARIANWOOD

PROVIDENCE MOTHER JOSEPH CARE

PROVIDENCE MOUNT ST VINCENT

PROVIDENCE ST JOSEPH CARE CENTER

PUGET SOUND HEALTHCARE CENTER

PUYALLUP NURSING AND REHABILITATION CENTER

QUEEN ANNE HEALTHCARE

RAINIER REHABILITATION

REDMOND CARE AND REHABILITATION CENTER

REGENCY AT NORTHPOINTE

REGENCY AT THE PARK

REGENCY CANYON LAKES REHAB AND NURSING CENTER REGENCY CARE CENTER AT MONROE

1600 128 4114696 225 408 16471 114 267 12193 74.03 2.585 2.348

296265 41111 80 287 371 12462 79 144 6871 55.14 2.908 2.545

295 29080 117 4111779 241 377 13722 89 199 9595 69.92 3.198 3.060

297 40150 152 4110672 282 442 14940 112 231 10126 67.78 2.840 2.600

250 1400 215 4107702 367 652 27411 192 381 17868 65.19 2.707 2.812

338 23400 113 4114179 343 459 13268 132 220 8503 64.09 2.746 2.513

299 31510 108 4115611 219 375 14538 102 233 10458 71.94 2.816 2.587

303 40960 96 4114344 204 317 10394 81 179 7880 75.81 2.672 2.455

300 23900 120 4114594 175 401 19954 146 349 17577 88.09 2.747 2.707

302 35010 117 4114670 167 369 17414 110 286 14780 84.87 3.802 3.749

124 15100 139 4114629 178 298 11468 66 159 7779 67.83 3.000 2.846

409 40640 120 4114328 198 354 15690 84 204 10852 69.17 3.065 3.126

309 40710 106 4114336 126 237 10575 53 134 7210 68.18 2.701 2.561

429 40660 53 4112413 95 141 5412 19 43 2080 38.43 2.924 2.487

307 40920 92 4114252 153 273 12010 64 142 6895 57.41 2.547 2.278

2.586 2.349

2.908 2.545

3.198 3.060

2.842 2.602

2.707 2.812

2.750 2.520

2.815 2.586

2.674 2.456

2.747 2.707

3.802 3.749

3.005 2.853

3.065 3.126

2.701 2.561

2.924 2.487

2.547 2.278

2021-S2-Final-2021/11/08

121

189

249

52448

355

310

46108

313

315

4601

318

319

321

242

327

REGENCY COUPEVILLE REHAB AND NURSING CENTER REGENCY HARMONY HOUSE REHAB & NURSING

REGENCY NORTH BEND REHAB & NURSING CENTER

REGENCY OLYMPIA REHABILITATION AND NURSING CENTER REGENCY OMAK

REGENCY WENATCHEE REHABILIATION & NURSING CENTER RICHLAND REHABILITATION CENTER

RICHMOND BEACH REHAB

RIVERSIDE NURSING & REHAB CTR

ROCKWOOD AT HAWTHORNE

ROCKWOOD SOUTH HILL

ROO LAN HEALTH & REHAB

ROYAL PARK HEALTH AND REHABILITATION

SAINT ANNE NURSING AND REHABILITATION CENTER

SEATTLE MEDICAL POST ACUTE CARE




35040 112 4116251 86 172 8959 52 128 7375 82.32 2.647 2.527

16800 54 4115361 59 135 7017 41 110 5867 83.61 2.267 2.186

20600 64 4114310 77 160 7190 54 123 5486 76.30 2.570 2.350

33700 28 4114237 65 107 3400 21 50 1832 53.88 2.685 2.539

41030 56 4114796 59 137 6629 38 100 5148 77.66 2.426 2.290

15700 55 4115391 164 216 6569 35 65 2951 44.92 2.669 2.332

40910 71 4114527 310 404 12065 53 74 2743 22.74 2.868 2.871

40410 131 4113460 247 436 17157 140 307 14265 83.14 2.589 2.445

18200 91 4115591 95 198 8929 79 175 8414 94.23 2.789 2.744

10030 20 4112835 8 8 32 2 2 8 25.00 2.066 2.090

25020 45 4945700 86 142 5332 2 2 13 0.24 2.298 3.387

18500 96 4116151 115 265 13334 83 213 11269 84.51 2.466 2.384

40170 164 4114712 271 498 18733 156 350 14867 79.36 2.826 2.737

100 47 4113239 44 94 4995 30 70 4061 81.30 3.016 2.973

35900 103 4112280 162 336 15483 146 313 14774 95.42 3.235 3.203

2.647 2.527

2.267 2.186

2.578 2.360

2.685 2.539

2.434 2.300

2.668 2.331

2.877 2.915

2.590 2.445

2.787 2.743

2.066 2.090

2.296 0.000

2.465 2.384

2.826 2.737

3.016 2.971

3.236 3.204

2021-S2-Final-2021/11/08

290

330

750

287

332

244

96

2843

336

337

28397

104

314

343

344

SEQUIM HEALTH & REHABILITATION

SHARON CARE CENTER

SHELTON HEALTH & REHAB CENTER

SHORELINE HEALTH AND REHABILITATION

SHUKSAN HEALTHCARE CENTER

SNOHOMISH HEALTH AND REHABILITATION

SOUNDVIEW REHABILTATION AND HEALTH CARE INC SPOKANE VETERANS HOME

SPRINGS AT PACIFIC REGENT, THE

ST FRANCIS OF BELLINGHAM

STAFFORD HEALTHCARE

STAFFORD HEALTHCARE AT BELMONT

STAFFORD HEALTHCARE AT RIDGEMONT

SULLIVAN PARK CARE CENTER

SUMMITVIEW HEALTHCARE CENTER




40930 100 4115631 210 421 16286 107 272 12109 74.35 2.747 2.602

36600 42 4113049 156 212 6781 46 84 3092 45.60 2.902 2.624

40700 76 4116081 90 202 8177 64 169 7293 89.19 2.543 2.433

13300 114 4115261 170 340 15194 100 241 12128 79.82 2.583 2.442

9000 52 4115911 79 146 6116 38 89 4389 71.76 2.852 2.698

35050 91 4114745 154 279 11141 85 195 8706 78.14 2.731 2.593

14900 44 4115901 150 199 5942 38 68 2947 49.60 2.921 2.482

35060 100 4000121 103 285 14080 39 110 5557 39.47 2.251 2.215

39960 54 4914385 169 203 4521 22 22 181 4.00 3.239 1.337

5000 105 4113981 151 276 10630 114 222 9171 86.27 2.615 2.538

8700 165 4113643 216 362 14136 113 244 11332 80.16 3.201 3.131

17900 102 4157509 173 323 14196 102 238 12366 87.11 3.013 2.916

18700 96 4158804 168 339 13769 103 254 12012 87.24 2.901 2.826

40160 125 4113452 297 460 16870 118 249 11649 69.05 2.695 2.525

6000 78 4135901 90 180 8483 43 112 5916 69.74 2.915 2.715

2.751 2.607

2.902 2.624

2.542 2.431

2.584 2.442

2.852 2.698

2.730 2.590

2.922 2.484

2.257 2.231

3.314 0.000

2.618 2.541

3.201 3.131

3.013 2.916

2.901 2.826

2.694 2.524

2.915 2.715




345 SUNRISE VIEW CONVALESCENT CTR

SUNSHINE HEALTH & REHAB

TACOMA NURSING AND REHABILITATION CENTER

THE OAKS AT LAKEWOOD

THE OAKS AT TIMBERLINE

THE TERRACES AT SKYLINE

TOPPENISH NURSING & REHAB CENTER

TOUCHMARK ON SOUTH HILL NURSING

TRANSITIONAL CARE CENTER OF SEATTLE

VANCOUVER SPECIALTY AND REHAB CARE

VIEW RIDGE CARE CENTER

WARM BEACH HEALTH CARE CENTER

WASHINGTON CARE CENTER

WASHINGTON ODD FELLOWS HOME

WASHINGTON SOLDIERS HOME

6600 59 4111662 102 190 8344 55 131 6510 78.02 2.948 2.984

346 2600 84 4110508 182 280 9677 61 129 5815 60.09 2.684 2.477

305 17400 150 4115861 209 418 18085 167 372 17199 95.10 2.325 2.283

218 39980 80 4115681 99 232 10300 79 205 9283 90.13 2.721 2.711

360 18100 98 4115691 291 469 15752 191 362 13348 84.74 2.484 2.363

160 40970 34 4914401 112 141 5072 2 2 114 2.25 2.953 0.870

356 22200 75 4113544 111 213 10396 92 192 9909 95.32 2.343 2.294

369 40520 57 4912010 137 164 4777 5 5 67 1.40 3.039 1.277

326194 11300 165 4916211 75 190 7698 75 190 7698 100.00 2.694 2.685

273 12500 104 4115721 135 343 13402 100 274 11770 87.82 3.437 3.345

168 2400 70 4114492 142 232 8596 58 130 5833 67.86 2.572 2.333

364 22600 59 4164505 93 180 6938 35 101 4238 61.08 2.919 2.974

365 8900 165 4116131 240 504 22074 187 419 19099 86.52 2.404 2.326

366 5700 117 4135109 161 333 16375 82 187 9698 59.22 2.729 2.779

367 40340 97 4000014 98 271 14559 37 105 5704 39.18 2.254 2.135

2.948 2.984

2.684 2.477

2.324 2.282

2.721 2.711

2.486 2.365

2.998 0.000

2.343 2.294

3.063 0.000

2.693 2.685

3.440 3.349

2.588 2.354

2.919 2.974

2.404 2.326

2.728 2.778

2.255 2.137




41116 80 4915481 80 236 12808 37 106 5679 2.098 2.055 2.055

40330 240 4000006 237 691 38569 102 304 17049 2.139 2.064 2.064

18900 148 4113825 211 425 17936 84 225 10924 3.189 3.160 3.165

6400 55 4112405 76 164 6697 50 122 5504 2.809 2.698 2.700

25100 60 4113577 61 161 7288 41 110 5491 2.702 2.566 2.566

10300 75 4113924 169 284 11540 88 177 8039 2.998 2.863 2.868

21400 62 4174900 79 198 8882 44 133 6400 2.247 2.169 2.169

700 112 4015004 94 223 9760 92 220 9735 2.311 2.308 2.354

201 19,427 201 30,095 57,547 2,340,563 15,734 36,854 1,725,349 2.704 2.599 2.604 Report Totals: Facility Count:

73.72 2.707

Medicaid Days: 1,725,349 1,720,508

375 WOODLAND CONVALESCENT CENTER

72.06 2.247

377 YAKIMA VALLEY SCHOOL 99.74 2.353

374 WILLAPA HARBOR HEALTH AND REHAB

75.34 2.702

311 WILLOW SPRINGS CARE AND REHABILITATION

69.66 3.001

371 WESLEY HOMES HEALTH CENTER

60.91 3.192

373 WHITMAN HEALTH & REHAB CENTER

82.19 2.811

318470 WASHINGTON STATE WALLA WALLA VETERANS HOME

44.34 2.098

368 WASHINGTON VETERAN HOME-RETSIL

44.20 2.139

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