Heritage Park Care Center - Carbondale Nursing Home
General Information
UPDATEFederal Provider Number
65237
Provider Name
HERITAGE PARK CARE CENTER
Provider Address
1200 VILLAGE ROAD
CARBONDALE, CO 81623
CARBONDALE, CO 81623
Provider Phone Number
9709631500
Provider SSA County
220
Provider County Name
Garfield
Ownership Type
For profit - Limited Liability
Number of Certified Beds
90
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE PARK OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1987-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.21800
Reported LPN Staffing Hours per Resident per Day
0.63800
Reported RN Staffing Hours per Resident per Day
1.29133
Reported Licensed Staffing Hours per Resident per Day
1.92933
Reported Total Nurse Staffing Hours per Resident per Day
4.14733
Reported Physical Therapist Staffing Hours per Resident Per Day
0.53133
Expected CNA Staffing Hours per Resident per Day
2.63104
Expected LPN Staffing Hours per Resident per Day
0.67186
Expected RN Staffing Hours per Resident per Day
1.05111
Expected Total Nurse Staffing Hours per Resident per Day
4.35401
Adjusted CNA Staffing Hours per Resident per Day
2.06850
Adjusted LPN Staffing Hours per Resident per Day
0.78817
Adjusted RN Staffing Hours per Resident per Day
0.91797
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83956
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
76
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-08-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
52.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
3048
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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