Hillside Rehabilitation Center - Salt Lake City Nursing Home

General Information

UPDATE
Federal Provider Number
465128
Provider Name
HILLSIDE REHABILITATION CENTER
Provider Address
1216 EAST 1300 SOUTH
SALT LAKE CITY, UT 84105
Provider Phone Number
8014875865
Provider SSA County
170
Provider County Name
Salt Lake
Ownership Type
Non profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MISSION HEALTH SERVICES
Date First Approved to Provide Medicare and Medicaid services
1991-10-03
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.63226
Reported LPN Staffing Hours per Resident per Day
0.06855
Reported RN Staffing Hours per Resident per Day
1.02177
Reported Licensed Staffing Hours per Resident per Day
1.09032
Reported Total Nurse Staffing Hours per Resident per Day
3.72258
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08790
Expected CNA Staffing Hours per Resident per Day
2.42606
Expected LPN Staffing Hours per Resident per Day
0.71865
Expected RN Staffing Hours per Resident per Day
1.18019
Expected Total Nurse Staffing Hours per Resident per Day
4.32490
Adjusted CNA Staffing Hours per Resident per Day
2.66225
Adjusted LPN Staffing Hours per Resident per Day
0.07917
Adjusted RN Staffing Hours per Resident per Day
0.64690
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46953
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-10-23
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
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
24.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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