Alpine Valley Care Center - Pleasant Grove Nursing Home

General Information

UPDATE
Federal Provider Number
465088
Provider Name
ALPINE VALLEY CARE CENTER
Provider Address
25 EAST ALPINE DRIVE
PLEASANT GROVE, UT 84062
Provider Phone Number
8017853568
Provider SSA County
240
Provider County Name
Utah
Ownership Type
Non profit - Corporation
Number of Certified Beds
52
Number of Residents in Certified Beds
32
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
1981-12-15
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
3.21563
Reported LPN Staffing Hours per Resident per Day
0.33594
Reported RN Staffing Hours per Resident per Day
1.11719
Reported Licensed Staffing Hours per Resident per Day
1.45313
Reported Total Nurse Staffing Hours per Resident per Day
4.66876
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00625
Expected CNA Staffing Hours per Resident per Day
2.74387
Expected LPN Staffing Hours per Resident per Day
0.61187
Expected RN Staffing Hours per Resident per Day
0.88326
Expected Total Nurse Staffing Hours per Resident per Day
4.23899
Adjusted CNA Staffing Hours per Resident per Day
2.87557
Adjusted LPN Staffing Hours per Resident per Day
0.45570
Adjusted RN Staffing Hours per Resident per Day
0.94510
Adjusted Total Nurse Staffing Hours per Resident per Day
4.43957
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-05-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-10
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-01-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
17.33300
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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