Rio Grande Inn - La Jara Nursing Home

General Information

UPDATE
Federal Provider Number
65399
Provider Name
RIO GRANDE INN
Provider Address
39 CALLE MILLER
LA JARA, CO 81140
Provider Phone Number
7192743311
Provider SSA County
100
Provider County Name
Conejos
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RIO GRANDE INN, INC.
Date First Approved to Provide Medicare and Medicaid services
2010-06-03
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.69712
Reported LPN Staffing Hours per Resident per Day
0.41731
Reported RN Staffing Hours per Resident per Day
0.45385
Reported Licensed Staffing Hours per Resident per Day
0.87115
Reported Total Nurse Staffing Hours per Resident per Day
3.56828
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05481
Expected CNA Staffing Hours per Resident per Day
2.39438
Expected LPN Staffing Hours per Resident per Day
0.65041
Expected RN Staffing Hours per Resident per Day
0.96943
Expected Total Nurse Staffing Hours per Resident per Day
4.01422
Adjusted CNA Staffing Hours per Resident per Day
2.76394
Adjusted LPN Staffing Hours per Resident per Day
0.53253
Adjusted RN Staffing Hours per Resident per Day
0.34981
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58310
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
40
Cycle 1 Standard Survey Health Date
2014-12-05
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
13
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-11-07
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
15
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
64.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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