Millard County Care And Rehabilitation - Delta Nursing Home
General Information
UPDATEFederal Provider Number
465157
Provider Name
MILLARD COUNTY CARE AND REHABILITATION
Provider Address
150 SOUTH WHITE SAGE AVENUE
DELTA, UT 84624
DELTA, UT 84624
Provider Phone Number
4358642944
Provider SSA County
130
Provider County Name
Millard
Ownership Type
Government - County
Number of Certified Beds
60
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MILLARD COUNTY CARE &
Date First Approved to Provide Medicare and Medicaid services
2004-05-20
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
4
QM Rating Footnote
Staffing Rating
2
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
2.07321
Reported LPN Staffing Hours per Resident per Day
0.32411
Reported RN Staffing Hours per Resident per Day
0.80446
Reported Licensed Staffing Hours per Resident per Day
1.12857
Reported Total Nurse Staffing Hours per Resident per Day
3.20178
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04554
Expected CNA Staffing Hours per Resident per Day
2.46485
Expected LPN Staffing Hours per Resident per Day
0.60059
Expected RN Staffing Hours per Resident per Day
0.92229
Expected Total Nurse Staffing Hours per Resident per Day
3.98773
Adjusted CNA Staffing Hours per Resident per Day
2.06383
Adjusted LPN Staffing Hours per Resident per Day
0.44791
Adjusted RN Staffing Hours per Resident per Day
0.65174
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23644
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2012-08-16
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2010-08-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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