Avalon Valley Rehabilitation - Salt Lake City Nursing Home
General Information
UPDATEFederal Provider Number
465146
Provider Name
AVALON VALLEY REHABILITATION
Provider Address
2472 SOUTH 300 EAST
SALT LAKE CITY, UT 84115
SALT LAKE CITY, UT 84115
Provider Phone Number
(801) 466-2211
Provider SSA County
170
Provider County Name
Salt Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
127
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVALON VALLEY CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1997-05-06
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.45669
Reported LPN Staffing Hours per Resident per Day
0.25630
Reported RN Staffing Hours per Resident per Day
1.61614
Reported Licensed Staffing Hours per Resident per Day
1.87244
Reported Total Nurse Staffing Hours per Resident per Day
4.32913
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10118
Expected CNA Staffing Hours per Resident per Day
2.60804
Expected LPN Staffing Hours per Resident per Day
0.74138
Expected RN Staffing Hours per Resident per Day
1.21701
Expected Total Nurse Staffing Hours per Resident per Day
4.56643
Adjusted CNA Staffing Hours per Resident per Day
2.31131
Adjusted LPN Staffing Hours per Resident per Day
0.28694
Adjusted RN Staffing Hours per Resident per Day
0.99225
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82143
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
60
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-01-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-10-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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