Four Corners Regional Care Center - Blanding Nursing Home

General Information

UPDATE
Federal Provider Number
465057
Provider Name
FOUR CORNERS REGIONAL CARE CENTER
Provider Address
818 NORTH 400 WEST
BLANDING, UT 84511
Provider Phone Number
4356782251
Provider SSA County
180
Provider County Name
San Juan
Ownership Type
For profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BEAVER VALLEY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1977-05-17
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
4
QM Rating Footnote
Staffing Rating
4
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
2.23852
Reported LPN Staffing Hours per Resident per Day
0.52459
Reported RN Staffing Hours per Resident per Day
0.87623
Reported Licensed Staffing Hours per Resident per Day
1.40082
Reported Total Nurse Staffing Hours per Resident per Day
3.63934
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09344
Expected CNA Staffing Hours per Resident per Day
2.34027
Expected LPN Staffing Hours per Resident per Day
0.60250
Expected RN Staffing Hours per Resident per Day
0.96356
Expected Total Nurse Staffing Hours per Resident per Day
3.90633
Adjusted CNA Staffing Hours per Resident per Day
2.34701
Adjusted LPN Staffing Hours per Resident per Day
0.72268
Adjusted RN Staffing Hours per Resident per Day
0.67948
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75539
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-06-06
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
32
Cycle 3 Number of Standard Health Deficiencies
30
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
312
Cycle 3 Standard Health Survey Date
2011-08-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
312
Total Weighted Health Survey Score
96.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
6000
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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