Rocky Mountain Care - Cottage On Vine - Murray Nursing Home

General Information

UPDATE
Federal Provider Number
465125
Provider Name
ROCKY MOUNTAIN CARE - COTTAGE ON VINE
Provider Address
835 EAST VINE STREET
MURRAY, UT 84107
Provider Phone Number
8016933801
Provider SSA County
170
Provider County Name
Salt Lake
Ownership Type
Non profit - Corporation
Number of Certified Beds
61
Number of Residents in Certified Beds
50
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
1991-05-30
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.07600
Reported LPN Staffing Hours per Resident per Day
0.21700
Reported RN Staffing Hours per Resident per Day
1.16100
Reported Licensed Staffing Hours per Resident per Day
1.37800
Reported Total Nurse Staffing Hours per Resident per Day
3.45400
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.67378
Expected LPN Staffing Hours per Resident per Day
0.65861
Expected RN Staffing Hours per Resident per Day
1.03805
Expected Total Nurse Staffing Hours per Resident per Day
4.37044
Adjusted CNA Staffing Hours per Resident per Day
1.90512
Adjusted LPN Staffing Hours per Resident per Day
0.27347
Adjusted RN Staffing Hours per Resident per Day
0.83570
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18566
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-04-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-04-30
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
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-06-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
40.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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