Southern Utah Veterans Home - Ivins - Ivins Nursing Home
General Information
UPDATEFederal Provider Number
465180
Provider Name
SOUTHERN UTAH VETERANS HOME - IVINS
Provider Address
160 N 200 E
IVINS, UT 84738
IVINS, UT 84738
Provider Phone Number
4356345220
Provider SSA County
260
Provider County Name
Washington
Ownership Type
For profit - Limited Liability
Number of Certified Beds
108
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVALON CARE CENTER VA IVINS LLC
Date First Approved to Provide Medicare and Medicaid services
2013-08-14
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
3.69293
Reported LPN Staffing Hours per Resident per Day
0.49511
Reported RN Staffing Hours per Resident per Day
1.56739
Reported Licensed Staffing Hours per Resident per Day
2.06250
Reported Total Nurse Staffing Hours per Resident per Day
5.75543
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04348
Expected CNA Staffing Hours per Resident per Day
2.32061
Expected LPN Staffing Hours per Resident per Day
0.57615
Expected RN Staffing Hours per Resident per Day
0.88689
Expected Total Nurse Staffing Hours per Resident per Day
3.78364
Adjusted CNA Staffing Hours per Resident per Day
3.90472
Adjusted LPN Staffing Hours per Resident per Day
0.71326
Adjusted RN Staffing Hours per Resident per Day
1.32052
Adjusted Total Nurse Staffing Hours per Resident per Day
6.13154
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
16
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-08-14
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
-0001-11-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
11.20000
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
Nursiong Homes Nearby
Hurricane Health And Rehabilitation
416 North State Street |
HURRICANE UT 84737 | 21.6 miles away
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