Washington State – Aging and Long-Term Support ...€¦ · 2020-S2-Final-2020/11/16 Washington State – Aging and Long-Term Support Administration Case Mix Index versus Case Mix

Loc

Nmbr

Lic

Beds

Provider

Number

Total

Rsdnts

Stay

Period

Count

Total Days

for All

Rsdnts

Rsdnt

Count

Stay

Period

Count

Days Fac Medicaid

32400 96 4115441 102 262 11007 76 224 9853 2.562 2.473

40350 123 4116031 168 380 14644 123 323 13413 2.645 2.567

21300 128 4115571 159 319 14547 126 278 13532 2.650 2.580

33200 85 4111027 129 273 10999 104 239 10280 2.693 2.671

12900 102 4114737 131 293 12260 100 243 10642 2.582 2.600

14100 74 4116041 86 215 9334 71 196 8862 2.523 2.466

18800 76 4113346 133 233 8992 62 132 5786 2.632 2.343

40790 120 4113551 286 479 15938 147 304 11838 2.616 2.409

19800 39 4113593 30 85 4284 23 72 3681 2.329 2.336

21200 48 4113619 52 104 4125 20 53 2439 3.055 2.930

40510 119 4113585 239 433 17979 121 286 13679 2.584 2.459

19900 108 4113627 178 348 10084 100 216 7384 3.023 2.926

28000 102 4114054 135 367 16703 124 345 15938 2.407 2.398

19300 84 4114602 112 242 11534 92 214 10630 2.342 2.248

16100 81 4114039 109 256 11511 96 239 11123 2.594 2.566

26500 90 4113742 182 327 13801 74 180 9759 2.454 2.209

40470 88 4115081 333 446 12828 120 201 7782 2.885 2.643

41114 60 4115421 199 253 6280 68 109 3224 3.084 2.855

40260 35 4111068 54 133 6123 54 133 6123 2.111 2.094

23300 69 4115101 66 178 7660 43 135 6454 2.631 2.638

25060 142 4116221 231 472 19551 206 440 18752 2.537 2.498

9400 50 4146106 126 197 7026 21 45 1984 2.843 2.513

34100 67 4114661 145 243 9351 72 146 6587 2.795 2.690

35400 91 4113635 99 270 12692 92 260 12349 2.268 2.268

40740 111 4112900 270 394 12837 128 233 9726 3.063 2.932

126966 BENSON HEIGHTS REHABILITATION CENTER 97.30 2.268

107 BETHANY AT PACIFIC 75.77 3.062

101 BAYVIEW MANOR 28.24 2.844

260 BEACON HILL REHABILITATION 70.44 2.796

205 BAINBRIDGE ISLAND HEALTH & REHAB CENTER 84.26 2.630

204 BALLARD CENTER 95.91 2.538

316759 AVAMERE TRANSITIONAL CARE OF PUGET SOUND 51.34 3.139

99 BAILEY-BOUSHAY HOUSE 100.00 2.101

266 AVAMERE OLYMPIC REHABILITATION OF SEQUIM 70.71 2.473

123 AVAMERE REHABILITATION OF CASCADE PARK 60.66 2.915

103 AVAMERE BELLINGHAM HEALTH CARE & REHAB

SERVICES

92.16 2.342

192 AVAMERE HERITAGE REHABILITATION OF TACOMA 96.63 2.593

110 AVALON HEALTH & REHABILITATION CENTER - PASCO 73.22 3.058

349 AVAMERE AT PACIFIC RIDGE 95.42 2.407

274 AVALON CARE CENTER - PULLMAN 59.13 3.139

109 AVALON CARE CENTER AT NORTHPOINTE 76.08 2.606

7435 AVALON CARE CENTER - FEDERAL WAY 74.28 2.624

269 AVALON CARE CENTER - OTHELLO LLC 85.92 2.329

154 AMERICANA HEALTH & REHAB CTR 94.94 2.523

306 ARLINGTON HEALTH AND REHABILITATION 64.35 2.627

94 ALDERWOOD MANOR 93.46 2.693

95 ALDERWOOD PARK HEALTH AND REHABILITATION 86.80 2.582

172 ALASKA GARDENS HEALTH AND REHABILITATION 91.59 2.644

93 ALDERCREST HEALTH & REHAB CENTER 93.02 2.649

FA

CIL

I

TY

ID

Name % Fac

221 ADVANCED POST ACUTE 89.52 2.563

Medicaid Residents With Default W/O Default

For Dates: 04/01/2020 to 09/30/2020 Page 1 of 1

Average Case Mix Index:

2020-S2-Final-2020/11/16 Washington State – Aging and Long-Term Support Administration

Case Mix Index versus Case Mix Index Medicaid by Facility

CMX-020533-0

Report Run Date: 11/16/2020

Assessments Received as of: 11/06/2020

https://dshsdboly2621c.dshs.wa.lcl/ReportServer?%2FCaseMix%2F2502_CMDetail&CaseMixEpisodeId=176&FacilityId=126966&rs%3AParameterLanguage=





























CMX-020533-0



40020 120 4110490 198 365 15852 120 276 13707 2.776 2.685

40010 23 4210001 27 69 3586 18 40 2077 1.948 1.895

12100 99 4114393 245 391 15688 100 209 9827 3.337 3.355

13700 125 4115581 171 398 17406 145 362 16557 2.630 2.611

40940 45 4914138 54 130 6859 0 0 0 2.514 0.000

24900 83 4115521 97 185 7819 64 152 7294 2.511 2.453

40670 40 4115021 73 139 5735 28 71 3374 2.742 2.484

9900 140 4115831 135 406 15624 106 354 13678 2.697 2.618

4500 100 4116061 199 377 14538 113 274 11864 2.479 2.288

35040 112 4110946 88 177 8038 58 131 6317 3.096 3.049

23500 205 4165809 428 802 32242 229 473 20225 3.120 3.268

25000 85 4115881 108 275 13097 95 254 12109 2.548 2.512

29900 54 4173209 102 199 8588 59 137 6409 3.439 3.435

40780 142 4113221 164 393 18655 84 238 11829 2.744 2.857

15500 100 4113056 104 219 10264 67 166 8512 2.586 2.522

39950 111 4115041 182 348 13261 123 272 11346 2.666 2.616

1200 116 4104808 154 306 13487 90 211 10598 3.153 3.046

31560 44 4176400 35 102 5867 33 96 5501 1.952 1.904

40280 61 4111134 70 168 8836 2 4 189 2.268 2.500

26010 108 4113684 220 360 13403 89 197 9014 2.689 2.516

40600 43 4112314 118 176 6075 22 43 1939 2.634 2.206

10200 85 4113916 117 258 12468 69 194 9861 2.686 2.564

21800 101 4115621 158 326 14371 107 263 12510 2.459 2.401

4100 168 4127403 104 189 6815 62 132 5039 2.774 2.611

15900 125 4154506 91 144 4613 91 144 4613 1.989 1.968

24300 89 4113536 152 284 11229 87 206 9911 2.216 2.121

25300 82 4113668 112 266 12389 99 251 11961 2.809 2.787

11700 92 4116021 78 171 6008 64 152 5698 2.922 2.898

40490 100 4115051 168 342 15532 131 291 13909 3.326 3.276153 EVERETT CENTER 89.55 3.326

151 EMERALD CARE 96.55 2.815

152 ENUMCLAW HEALTH & REHAB CENTER 94.84 2.922

147 DELTA REHABILITATION CENTER 100.00 1.996

141 DISCOVERY NURSING & REHAB OF VANCOUVER 88.26 2.216

144 CRESTWOOD HEALTH AND REHABILITATION CENTER 87.05 2.459

145 CRISTA REHAB & SKILLED CARE 73.94 2.773

390 COVENANT SHORES HEALTH CENTER 31.92 2.669

143 CRESCENT HEALTH CARE, INC 79.09 2.686

138 CORWIN CENTER AT EMERALD HEIGHTS 2.14 2.268

139 COTTESMORE OF LIFE CARE 67.25 2.699

135 COLUMBIA LUTHERAN HOME 78.58 3.153

137 COLVILLE TRIBAL CONVALESCENT C 93.76 1.953

133 COLONIAL VISTA POST-ACUTE & REHAB CENTER 82.93 2.586

352 COLUMBIA CREST CENTER 85.56 2.666

128 CHENEY CARE CENTER 74.63 3.439

130 CHRISTIAN HEALTH CARE CENTER 63.41 2.744

122 CAROLINE KLINE GALLAND HOME 62.73 3.120

125 CASHMERE CARE CENTER 92.46 2.548

118 CANTERBURY HOUSE 81.61 2.478

121 CAREAGE OF WHIDBEY 78.59 3.138

115 BUENA VISTA HEALTHCARE 58.83 2.742

116 BURIEN NURSING AND REHABILITATION CENTER 87.54 2.697

126885 BRIARWOOD AT TIMBER RIDGE 0.00 2.514

284 BROOKFIELD HEALTH AND REHAB OF CASCADIA 93.29 2.511

222 BOTHELL HEALTH CARE 62.64 3.337

114 BREMERTON CONVALESCENT & REHABILITATION

CENTER

95.12 2.629

106 BETHANY AT SILVER LAKE 86.47 2.787

112 BOOKER REST HOME 57.92 1.939


































CMX-020533-0



41119 31 4916171 47 75 4108 43 68 3680 2.559 2.620

16400 135 4115641 140 331 14411 120 306 13964 2.456 2.421

40390 92 4088464 111 330 19375 104 292 17166 2.415 2.441

24400 98 4115601 162 342 14797 122 296 13779 2.503 2.430

31590 20 4205407 23 66 3622 18 45 2345 2.167 2.235

31550 92 4115991 147 200 6339 91 127 4480 2.729 2.620

7700 211 4141701 194 422 21010 130 319 17368 2.756 2.740

13900 100 4115651 106 241 11021 98 230 10670 2.767 2.746

21500 140 4112256 229 426 14726 104 273 11854 2.595 2.457

40900 70 4913502 173 206 5048 32 34 495 3.236 2.861

13100 101 4114377 106 288 14242 101 273 13613 2.750 2.765

15200 124 4115661 240 437 19180 210 401 18415 2.515 2.469

3500 105 4114229 180 339 12716 94 225 9506 3.207 3.123

8300 97 4143301 127 298 15359 80 214 11634 2.286 2.193

40130 57 4115871 56 154 7802 37 103 5434 2.336 2.223

9100 105 4113569 109 285 11098 73 217 8844 2.605 2.504

35090 147 4110763 148 389 17932 137 374 17395 2.804 2.787

14200 40 4152708 70 124 4401 9 24 1380 2.577 2.016

35030 120 4113080 161 327 14073 122 270 12120 2.666 2.595

41115 30 4915551 62 88 3373 2 2 12 2.600 2.234

13800 44 4114729 57 159 7048 45 143 6598 2.337 2.308

10500 140 4114070 130 271 12201 75 189 9235 2.847 2.634

2300 160 4114302 211 485 21213 144 380 18140 3.313 3.286

19200 96 4179701 249 412 15266 98 220 10375 2.618 2.285

40540 100 4112215 108 305 15733 101 289 14866 3.110 3.111

10800 74 4115061 86 238 12950 72 211 11647 2.315 2.292

40420 93 4088472 92 283 15604 92 253 13890 2.412 2.380

40750 93 4113726 146 286 10679 60 166 7455 3.106 2.906

41112 36 4115511 107 142 4795 13 19 879 3.075 2.052

376 LANDMARK CARE AND REHABILITATION 69.81 3.142

305336 LEA HILL REHABILITATION AND CARE CENTER 18.33 3.164

217 LAKE RIDGE CENTER 89.94 2.316

216 LAKELAND VILLAGE NURSING FACILITY 89.02 2.414

210 JUDSON PARK HEALTH CENTER 67.96 2.649

213 KIN ON HEALTH CARE CENTER 94.49 3.110

207 ISSAQUAH NURSING AND REHABILITATION CENTER 75.69 2.853

209 JOSEPHINE CARING COMMUNITY 85.51 3.312

318687 HERON'S KEY 0.36 2.601

195 HIGHLAND HEALTH AND REHABILITATION 93.62 2.337

190 HEARTHSTONE, THE 31.36 2.577

191 HEARTWOOD EXTENDED HEALTHCARE 86.12 2.666

184 GRAYS HARBOR HEALTH & REHABILITATION CENTER 79.69 2.605

186 HALLMARK MANOR 97.01 2.806

335 GOOD SAMARITAN SOCIETY - SPOKANE VALLEY 75.75 2.286

342 GOOD SAMARITAN SOCIETY - STAFHOLT 69.65 2.336

177 GARDENS ON UNIVERSITY, THE 96.01 2.514

181 GOOD SAMARITAN HEALTH CARE CTR 74.76 3.241

18146 GARDEN TERRACE HEALTHCARE CENTER OF

FEDERAL WAY

9.81 3.270

126 GARDEN VILLAGE 95.58 2.750

174 FRANKLIN HILLS HEALTH & REHAB CENTER 96.82 2.768

175 FRONTIER REHAB & EXTENDED CARE 80.50 2.594

170 FORT VANCOUVER POST ACUTE 70.67 2.738

171 FOSS HOME & VILLAGE 82.67 2.756

167 FOREST RIDGE HEALTH & REHAB 93.12 2.503

169 FORKS COMMUNITY HOSPITAL, LTCU 64.74 2.174

164 FIR LANE HEALTH AND REHAB CTR 96.90 2.456

165 FIRCREST SCHOOL, PAT N 88.60 2.420

325357 EVERETT TRANSITIONAL CARE SERVICES 89.58 2.560


































CMX-020533-0



16500 157 4111076 145 385 16974 145 385 16974 2.756 2.746

20400 136 4113817 98 229 7545 52 163 5876 2.947 2.829

19100 190 4114195 118 223 8728 61 144 6591 2.662 2.571

11400 121 4113932 107 241 10053 91 220 9381 2.535 2.491

20900 125 4114187 145 317 14604 108 268 13223 2.422 2.306

5900 94 4111969 96 187 8273 53 123 6353 2.512 2.392

14600 102 4113874 147 313 13892 102 263 12757 2.473 2.389

20500 104 4113833 100 183 6296 61 128 4816 3.322 3.257

18400 150 4113882 168 350 13987 134 296 13020 3.176 3.157

41110 100 4915331 234 268 7245 19 19 449 3.203 1.877

40370 130 4116191 221 514 18584 163 431 16811 2.913 2.897

7600 67 4114788 113 222 7649 62 157 6051 3.206 3.150

39930 113 4115931 260 486 16391 124 264 12394 2.469 2.217

29010 125 4115961 208 461 15766 102 253 11687 2.501 2.283

40040 120 4115751 119 252 11073 75 199 9960 2.085 1.948

31570 124 4115781 258 526 17956 162 374 15869 2.399 2.252

41020 120 4115951 280 533 14796 111 256 11650 2.385 2.171

40990 120 4115941 344 552 12858 113 231 8092 2.787 2.468

6100 190 4112165 167 472 25548 138 410 22458 2.937 2.950

8500 97 4115341 166 318 12900 94 219 10531 2.860 2.754

31300 42 4186706 55 120 6166 36 89 4815 2.243 2.251

35330 94 4115241 142 316 13828 99 259 12325 2.703 2.634

40950 46 4115011 81 142 5841 6 14 749 2.370 1.598

40580 69 4113650 163 212 5900 35 52 1763 3.162 2.846

41118 60 4115841 190 234 6061 33 45 1643 3.285 3.063

40590 94 4113692 235 440 14933 127 286 11329 2.684 2.563

12400 82 4114637 111 241 9890 62 172 7988 2.832 2.723

40270 70 4113338 128 213 8859 27 55 2517 2.919 2.814

16006 125 4115561 140 329 14455 127 306 13544 2.563 2.542256 NORTH AUBURN REHAB & HEALTH CENTER 93.70 2.563

231 MOUNTAIN VIEW REHABILITATION AND CARE CENTER 80.77 2.832

248 MT BAKER CARE CENTER 28.41 2.919

322513 MISSION HEALTHCARE AT RENTON 27.11 3.284

469 MONTESANO HEALTH & REHABILITATION 75.87 2.700

161805 MIRABELLA SEATTLE 12.82 2.369

148 MISSION HEALTHCARE AT BELLEVUE 29.88 3.161

240 MCKAY HEALTHCARE & REHAB CTR 78.09 2.243

246 MIRA VISTA CARE CENTER 89.13 2.703

237 MARTHA AND MARY HEALTH SERVICE 87.91 2.937

238 MARYSVILLE CARE CENTER 81.64 2.860

238348 MANORCARE HEALTH SERVICES - LACEY 78.74 2.384

225306 MANORCARE HEALTH SERVICES - SALMON CREEK 62.93 2.787

233 MANOR CARE OF GIG HARBOR WA, LLC 89.95 2.084

234 MANOR CARE OF TACOMA WA, LLC 88.38 2.399

236 MANOR CARE HEALTH SERVICES (LYNNWOOD) 75.61 2.469

235 MANOR CARE HEALTH SERVICES-SPO 74.13 2.504

228 LINDEN GROVE HEALTH CARE CENTER 90.46 2.913

230 LYNNWOOD POST ACUTE REHABILITATION CENTER 79.11 3.206

333 LIFE CARE CENTER OF SKAGIT VALLEY 93.09 3.175

285691 LIFE CARE CENTER OF SOUTH HILL 6.20 3.278

358 LIFE CARE CENTER OF PUYALLUP 91.83 2.475

224 LIFE CARE CENTER OF RICHLAND 76.49 3.322

291 LIFE CARE CENTER OF PORT ORCHARD 90.54 2.422

211 LIFE CARE CENTER OF PORT TOWNSEND 76.79 2.510

215 LIFE CARE CENTER OF KIRKLAND 75.52 2.662

252 LIFE CARE CENTER OF MOUNT VERNON 93.32 2.543

162 LIFE CARE CENTER OF FEDERAL WAY 100.00 2.756

223 LIFE CARE CENTER OF KENNEWICK 77.88 2.947

































CMX-020533-0



40760 122 4113486 195 371 16179 109 252 12316 2.537 2.302

23200 99 4115711 167 318 15625 108 229 11926 2.416 2.351

31500 42 4210704 44 136 7576 37 119 6591 2.299 2.306

40360 57 4115891 310 356 7439 39 49 1010 3.017 2.096

17800 135 4115111 187 403 16380 106 293 12962 2.982 2.893

17200 147 4115311 385 621 21375 254 465 17673 2.611 2.489

5600 109 4114770 139 310 10535 80 210 7347 2.948 2.896

12600 155 4150702 238 555 20346 64 167 8320 2.956 2.915

10100 99 4114761 171 390 14040 82 248 9529 2.770 2.625

26060 115 4113510 122 298 11214 82 218 8735 2.739 2.633

24600 139 4114245 130 313 14969 109 274 13465 3.580 3.512

25040 28 4111670 56 90 3448 7 17 923 2.322 1.452

5500 137 4115801 168 456 18414 118 363 15070 2.343 2.259

33000 49 4114519 66 128 4957 42 94 3924 2.437 2.305

17600 83 4114500 162 280 10662 64 144 6701 2.497 2.153

4400 90 4114551 125 277 12775 89 225 11084 2.321 2.234

3300 88 4114586 122 211 7803 87 163 6601 2.536 2.471

17000 92 4114578 88 198 10293 66 154 8301 2.251 2.176

20000 80 4114543 84 220 9806 67 192 8724 2.668 2.620

18300 74 4114688 104 219 9474 61 155 7116 2.532 2.317

1600 128 4114696 214 398 15501 138 298 12942 2.733 2.639

41111 80 248 335 10962 79 151 6559 2.890 2.501

29080 117 4111779 212 371 14461 102 238 10680 3.046 2.906

40150 152 4110672 407 611 19483 122 249 11104 2.748 2.381

1400 215 4107702 286 607 26851 160 367 17836 2.707 2.845

23400 113 4114179 307 434 13324 131 236 9604 2.533 2.309

31510 108 4115611 168 397 16640 123 337 15310 2.758 2.705

40960 96 4114344 178 316 12918 81 204 10519 2.582 2.392

23900 120 4114594 168 423 17792 131 352 15122 2.719 2.716

303 PUYALLUP NURSING AND REHABILITATION CENTER 81.43 2.582

300 QUEEN ANNE HEALTHCARE 84.99 2.719

338 PROVIDENCE ST JOSEPH CARE CENTER 72.08 2.537

299 PUGET SOUND HEALTHCARE CENTER 92.01 2.757

297 PROVIDENCE MOTHER JOSEPH CARE 56.99 2.748

250 PROVIDENCE MOUNT ST VINCENT 66.43 2.707

296265 PRESTIGE POST-ACUTE AND REHAB CENTER -

EDMONDS

59.83 2.890

295 PROVIDENCE MARIANWOOD 73.85 3.055

214 PRESTIGE POST-ACUTE & REHAB CTR - KITTITAS

VALLLEY

75.11 2.532

220 PRESTIGE POST-ACUTE AND REHAB CENTER -

CENTRALIA

83.49 2.734

288 PRESTIGE CARE & REHABILITATION - PINEWOOD

TERRACE

80.65 2.254

201 PRESTIGE CARE & REHABILITATION - SUNNYSIDE 88.97 2.668

131 PRESTIGE CARE & REHABILITATION - CLARKSTON 86.76 2.320

283 PRESTIGE CARE & REHABILITATION - PARKSIDE 84.60 2.536

117 PRESTIGE CARE & REHABILITATION - BURLINGTON 79.16 2.477

196 PRESTIGE CARE & REHABILITATION - CAMAS 62.85 2.497

280 PARK SHORE 26.77 2.325

281 PARK WEST CARE CENTER 81.84 2.346

277 PARK RIDGE CARE CENTER 77.89 2.739

278 PARK ROSE CARE CENTER 89.95 3.591

275 PANORAMA CITY CONV & REHAB CTR 40.89 2.956

276 PARK MANOR REHABILITATION CTR 67.87 2.777

267 ORCHARD PARK HEALTH CARE & REHAB CENTER 82.68 2.613

272 PACIFIC CARE AND REHABILITATION 69.74 2.947

262 NORTHWOODS LODGE 13.58 3.042

158 OLYMPIA TRANSITIONAL CARE AND REHABILITATION 79.13 2.982

257 NORTH CENTRAL CARE CENTER 76.33 2.418

258 NORTH VALLEY HOSPITAL 87.00 2.299

100 NORTH CASCADES HEALTH AND REHABILITATION

CENTER

76.12 2.537






































CMX-020533-0



35010 117 4114670 163 371 18431 117 294 15531 3.717 3.709

15100 139 4114629 140 258 10579 67 160 7419 2.945 2.804

40640 120 4114328 182 368 16232 87 243 12201 3.052 3.070

40710 106 4114336 133 270 10720 74 174 8296 2.614 2.511

40660 53 4112413 60 116 4559 24 59 2486 3.229 2.931

40920 92 4114252 119 269 13667 76 197 10570 2.394 2.239

16800 54 4115361 48 167 7556 42 146 6510 2.145 2.093

20600 64 4114310 61 156 8163 52 141 7476 2.472 2.406

33700 28 4114237 55 91 3628 15 36 1713 2.787 2.309

41030 56 4114796 55 144 7681 45 119 6409 2.243 2.162

15700 55 4115391 152 197 5909 42 75 3503 2.759 2.392

12700 99 4115541 129 302 13771 116 286 13337 2.687 2.649

40910 71 4114527 332 421 11836 72 102 3636 2.655 2.600

40410 131 4113460 231 402 16195 168 319 14067 2.893 2.810

18200 91 4115591 123 262 12042 111 248 11669 2.363 2.336

15800 0 4154407 31 38 568 14 17 292 2.566 2.544

10030 20 4112835 26 46 2114 3 7 383 2.491 2.204

25020 45 4945700 68 136 5937 15 15 202 2.210 0.897

18500 96 4116151 134 297 15219 90 218 11922 2.489 2.334

40170 164 4114712 268 569 22390 166 432 18329 2.760 2.676

100 47 4113239 43 113 6479 33 94 5544 3.092 3.128

40450 48 4111613 22 67 3562 22 67 3562 1.964 1.947

35900 103 4112280 129 315 15312 126 311 15180 3.229 3.216

40930 100 4115631 220 416 14566 111 253 10592 2.938 2.779

36600 42 4113049 124 199 5970 49 95 3695 2.855 2.713

40700 76 4116081 92 224 9981 73 199 9299 2.521 2.484

13300 114 4115261 206 359 16054 105 232 11959 2.620 2.465

9000 52 4115911 74 136 5415 42 88 3843 3.060 2.935

35050 91 4114745 144 288 11945 82 212 10115 2.513 2.445244 SNOHOMISH HEALTH AND REHABILITATION 84.68 2.513

287 SHORELINE HEALTH AND REHABILITATION 74.49 2.627

332 SHUKSAN HEALTHCARE CENTER 70.97 3.060

330 SHARON CARE CENTER 61.89 2.871

750 SHELTON HEALTH & REHAB CENTER 93.17 2.521

327 SEATTLE MEDICAL POST ACUTE CARE 99.14 3.229

290 SEQUIM HEALTH & REHABILITATION 72.72 2.938

242 SAINT ANNE NURSING AND REHABILITATION CENTER 85.57 3.092

324 SEA MAR COMMUNITY CARE CENTER 100.00 1.964

319 ROO LAN HEALTH & REHAB 78.34 2.489

321 ROYAL PARK HEALTH AND REHABILITATION 81.86 2.760

4601 ROCKWOOD AT HAWTHORNE 18.12 2.491

318 ROCKWOOD SOUTH HILL 3.40 2.251

315 RIVERSIDE NURSING & REHAB CTR 96.90 2.362

317 RIVERVIEW LUTHERAN RETIREMENT COMMUNITY OF

SPOKANE

51.41 2.566

46108 RICHLAND REHABILITATION CENTER 30.72 2.655

313 RICHMOND BEACH REHAB 86.86 2.906

310 REGENCY WENATCHEE REHABILIATION & NURSING

CENTER

59.28 2.769

304 RENTON NURSING AND REHABILITATION CENTER 96.85 2.702

52448 REGENCY OLYMPIA REHABILITATION AND NURSING

CENTER

47.22 2.793

355 REGENCY OMAK 83.44 2.243

189 REGENCY HARMONY HOUSE REHAB & NURSING 86.16 2.145

249 REGENCY NORTH BEND REHAB & NURSING CENTER 91.58 2.472

429 REGENCY CANYON LAKES REHAB AND NURSING

CENTER

54.53 3.229

307 REGENCY CARE CENTER AT MONROE 77.34 2.399

409 REGENCY AT NORTHPOINTE 75.17 3.052

309 REGENCY AT THE PARK 77.39 2.613

302 RAINIER REHABILITATION 84.27 3.717

124 REDMOND CARE AND REHABILITATION CENTER 70.13 2.950





































CMX-020533-0



14900 44 4115901 147 198 5507 42 67 2505 3.113 2.697

35060 100 4000121 115 288 12394 41 112 5010 2.266 2.251

39960 54 4914385 192 220 4851 20 20 247 3.058 0.969

5000 105 4113981 99 234 11305 75 185 9093 2.287 2.175

8700 165 4113643 292 475 16718 155 322 13839 3.071 3.007

17900 102 4157509 142 306 15821 96 251 14132 2.870 2.808

18700 96 4158804 157 338 13454 109 270 11741 2.955 2.933

40160 125 4113452 258 427 16419 116 256 11715 2.666 2.462

6000 78 4135901 88 200 9993 54 139 7485 2.560 2.371

6600 59 4111662 57 130 6445 40 97 5021 3.063 3.115

2600 84 4110508 220 344 12527 87 180 8426 2.568 2.295

19700 187 4160107 298 578 23933 114 288 14971 2.658 2.544

17400 150 4115861 140 375 17634 122 349 16880 2.490 2.456

17500 136 4115731 158 312 14827 120 261 12816 2.507 2.380

5830 90 4115671 78 139 5150 73 129 4775 2.236 2.184

39980 80 4115681 117 231 10530 75 175 8887 2.574 2.435

18100 98 4115691 223 424 15509 178 377 14703 2.231 2.161

40970 34 4914401 105 147 5240 5 5 216 2.775 1.305

22200 75 4113544 86 198 9086 75 179 8358 2.608 2.574

40520 57 4912010 173 228 6204 4 4 24 2.910 1.438

40250 120 4115531 184 356 14092 120 268 11471 2.608 2.504

12500 104 4115721 109 339 14806 91 302 13376 3.242 3.186

2400 70 4114492 124 237 10287 62 149 7653 2.487 2.299

22600 59 4164505 91 177 7155 38 100 4630 2.810 2.780

8900 165 4116131 206 461 20629 163 395 18043 2.495 2.428

5700 117 4135109 150 365 17908 73 202 10505 2.928 2.997

40340 97 4000014 104 290 15869 41 116 6424 2.245 2.204

41116 80 4915481 102 260 13789 42 111 6293 2.189 2.163

40330 240 4000006 262 734 41587 137 385 21835 2.204 2.113

318470 WASHINGTON STATE WALLA WALLA VETERANS

HOME

45.64 2.192

368 WASHINGTON VETERAN HOME-RETSIL 52.50 2.204

366 WASHINGTON ODD FELLOWS HOME 58.66 2.931

367 WASHINGTON SOLDIERS HOME 40.48 2.245

364 WARM BEACH HEALTH CARE CENTER 64.71 2.810

365 WASHINGTON CARE CENTER 87.46 2.495

273 VANCOUVER SPECIALTY AND REHAB CARE 90.34 3.242

168 VIEW RIDGE CARE CENTER 74.39 2.523

369 TOUCHMARK ON SOUTH HILL NURSING 0.39 2.915

354 UNIVERSITY PLACE REHABILITATION CENTER 81.40 2.608

160 THE TERRACES AT SKYLINE 4.12 2.838

356 TOPPENISH NURSING & REHAB CENTER 91.99 2.608

218 THE OAKS AT LAKEWOOD 84.40 2.573

360 THE OAKS AT TIMBERLINE 94.80 2.231

350 TALBOT CENTER FOR REHAB & HEALTHCARE 86.44 2.507

98 THE OAKS AT FOREST BAY 92.72 2.316

348 TACOMA LUTHERAN RETIREMENT COMMUNITY 62.55 2.657

305 TACOMA NURSING AND REHABILITATION CENTER 95.72 2.490

345 SUNRISE VIEW CONVALESCENT CTR 77.91 3.063

346 SUNSHINE HEALTH & REHAB 67.26 2.568

343 SULLIVAN PARK CARE CENTER 71.35 2.666

344 SUMMITVIEW HEALTHCARE CENTER 74.90 2.560

104 STAFFORD HEALTHCARE AT BELMONT 89.32 2.870

314 STAFFORD HEALTHCARE AT RIDGEMONT 87.27 2.955

337 ST FRANCIS OF BELLINGHAM 80.43 2.287

28397 STAFFORD HEALTHCARE 82.78 3.071

2843 SPOKANE VETERANS HOME 40.42 2.265

336 SPRINGS AT PACIFIC REGENT, THE 5.09 3.164

96 SOUNDVIEW REHABILTATION AND HEALTH CARE INC 45.49 3.115


































CMX-020533-0



18900 148 4113825 166 390 19195 93 263 13985 3.172 3.169

6400 55 4112405 73 169 7244 45 126 6057 2.700 2.591

25100 60 4113577 79 154 6637 52 107 4907 2.767 2.676

10300 75 4113924 145 262 10560 85 168 7564 3.091 2.977

21400 62 4174900 73 201 9075 47 142 6423 2.260 2.233

700 160 4015004 63 191 11351 60 181 10781 2.216 2.199

205 19,778 205 28,860 59,812 2,459,062 16,536 40,866 ##### 2.690 2.600Report Totals: Facility Count: 76.66 2.694

Medicaid Days: 1,885,068 1,879,153

375 WOODLAND CONVALESCENT CENTER 70.78 2.263

377 YAKIMA VALLEY SCHOOL 94.98 2.216

374 WILLAPA HARBOR HEALTH AND REHAB 73.93 2.767

311 WILLOW SPRINGS CARE AND REHABILITATION 71.63 3.091

371 WESLEY HOMES HEALTH CENTER 72.86 3.172

373 WHITMAN HEALTH & REHAB CENTER 83.61 2.700







Medicaid

2.474

2.566

2.579

2.671

2.600

2.466

2.333

2.420

2.336

3.076

2.487

2.976

2.399

2.248

2.565

2.234

2.690

2.958

2.085

2.638

2.499

2.513

2.691

2.268

2.931

W/O Default

Page 1 of 1

Average Case Mix Index:

CMX-020533-0



Page 1 of 1

CMX-020533-0



2.699

1.879

3.355

2.610

0.000

2.453

2.484

2.618

2.288

3.105

3.268

2.512

3.435

2.857

2.522

2.616

3.046

1.905

2.464

2.530

2.290

2.564

2.401

2.610

1.976

2.121

2.794

2.898

3.276

Page 1 of 1

CMX-020533-0



2.620

2.421

2.447

2.429

2.248

2.632

2.740

2.746

2.455

3.216

2.765

2.468

3.169

2.193

2.223

2.504

2.790

2.016

2.594

0.000

2.308

2.641

3.285

2.325

3.111

2.293

2.382

2.957

2.393

Page 1 of 1

CMX-020533-0



2.747

2.829

2.571

2.500

2.306

2.389

2.391

3.257

3.156

2.974

2.897

3.150

2.217

2.287

1.948

2.252

2.170

2.468

2.950

2.754

2.251

2.634

1.593

2.842

3.059

2.585

2.722

2.814

2.542

Page 1 of 1

CMX-020533-0



2.302

2.355

2.306

2.204

2.894

2.492

2.895

2.915

2.634

2.633

3.525

1.457

2.263

2.356

2.153

2.233

2.471

2.180

2.620

2.317

2.640

2.501

2.918

2.381

2.845

2.313

2.704

2.392

2.716

Page 1 of 1

CMX-020533-0



3.709

2.810

3.070

2.510

2.931

2.246

2.093

2.406

2.319

2.162

2.407

2.665

2.600

2.826

2.335

2.544

2.204

0.000

2.334

2.676

3.128

1.947

3.216

2.779

2.740

2.484

2.474

2.935

2.445

Page 1 of 1

CMX-020533-0



2.699

2.250

0.000

2.175

3.006

2.808

2.933

2.462

2.371

3.115

2.295

2.543

2.456

2.380

2.276

2.433

2.161

3.483

2.574

0.000

2.504

3.186

2.346

2.780

2.428

3.002

2.204

2.171

2.113

Page 1 of 1

CMX-020533-0



3.169

2.591

2.676

2.977

2.237

2.199

2.606

1,879,153

Documents

Washington State – Aging and Long-Term Support ...€¦ · 2020-S2-Final-2020/11/16 Washington State – Aging and Long-Term Support Administration Case Mix Index versus Case Mix