Avalon West Health & Rehabilitation - Salt Lake City Nursing Home
General Information
UPDATEFederal Provider Number
465066
Provider Name
AVALON WEST HEALTH & REHABILITATION
Provider Address
6246 SOUTH REDWOOD ROAD
SALT LAKE CITY, UT 84123
SALT LAKE CITY, UT 84123
Provider Phone Number
(801) 969-1420
Provider SSA County
170
Provider County Name
Salt Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BENNION CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1977-07-18
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
2
Health Inspection Rating Footnote
QM Rating
4
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
2.50108
Reported LPN Staffing Hours per Resident per Day
0.34409
Reported RN Staffing Hours per Resident per Day
1.60538
Reported Licensed Staffing Hours per Resident per Day
1.94946
Reported Total Nurse Staffing Hours per Resident per Day
4.45055
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15806
Expected CNA Staffing Hours per Resident per Day
2.71099
Expected LPN Staffing Hours per Resident per Day
0.69928
Expected RN Staffing Hours per Resident per Day
1.13192
Expected Total Nurse Staffing Hours per Resident per Day
4.54219
Adjusted CNA Staffing Hours per Resident per Day
2.26371
Adjusted LPN Staffing Hours per Resident per Day
0.40841
Adjusted RN Staffing Hours per Resident per Day
1.05974
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94957
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
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
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
58.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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