City Creek Post Acute - Salt Lake City Nursing Home

General Information

UPDATE
Federal Provider Number
465072
Provider Name
CITY CREEK POST ACUTE
Provider Address
165 SOUTH 1000 EAST
SALT LAKE CITY, UT 84102
Provider Phone Number
8013225521
Provider SSA County
170
Provider County Name
Salt Lake
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVENUES HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1979-12-15
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.37791
Reported LPN Staffing Hours per Resident per Day
0.37674
Reported RN Staffing Hours per Resident per Day
1.31860
Reported Licensed Staffing Hours per Resident per Day
1.69535
Reported Total Nurse Staffing Hours per Resident per Day
4.07325
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13256
Expected CNA Staffing Hours per Resident per Day
2.44889
Expected LPN Staffing Hours per Resident per Day
0.85768
Expected RN Staffing Hours per Resident per Day
1.45354
Expected Total Nurse Staffing Hours per Resident per Day
4.76011
Adjusted CNA Staffing Hours per Resident per Day
2.38258
Adjusted LPN Staffing Hours per Resident per Day
0.36458
Adjusted RN Staffing Hours per Resident per Day
0.67784
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44926
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-02-18
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
19
Cycle 2 Health Deficiency Score
144
Cycle 2 Standard Health Survey Date
2014-02-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
223
Cycle 3 Standard Health Survey Date
2013-02-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
223
Total Weighted Health Survey Score
85.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
16323
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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Hillside Rehabilitation Center

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Midtown Manor

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Pine Creek Rehabilitation And Nursing

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Little Cottonwood Rehabilitation And Nursing

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Avalon Valley Rehabilitation

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Meadowbrook Rehabilitation And Nursing

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Deseret Care Center

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Millcreek Health Center

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Mt Olympus Rehabilitation Center

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Canyon Rim Care Center

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