Beth Israel At Shalom Park - Aurora Nursing Home

General Information

UPDATE
Federal Provider Number
65303
Provider Name
BETH ISRAEL AT SHALOM PARK
Provider Address
14800 EAST BELLEVIEW DRIVE
AURORA, CO 80015
Provider Phone Number
3036805000
Provider SSA County
20
Provider County Name
Arapahoe
Ownership Type
Non profit - Corporation
Number of Certified Beds
135
Number of Residents in Certified Beds
129
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHALOM PARK
Date First Approved to Provide Medicare and Medicaid services
1992-09-08
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
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
2.24922
Reported LPN Staffing Hours per Resident per Day
0.42132
Reported RN Staffing Hours per Resident per Day
1.02674
Reported Licensed Staffing Hours per Resident per Day
1.44806
Reported Total Nurse Staffing Hours per Resident per Day
3.69728
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04961
Expected CNA Staffing Hours per Resident per Day
2.47923
Expected LPN Staffing Hours per Resident per Day
0.62894
Expected RN Staffing Hours per Resident per Day
0.88524
Expected Total Nurse Staffing Hours per Resident per Day
3.99341
Adjusted CNA Staffing Hours per Resident per Day
2.22606
Adjusted LPN Staffing Hours per Resident per Day
0.55601
Adjusted RN Staffing Hours per Resident per Day
0.86664
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73199
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
32
Cycle 1 Standard Survey Health Date
2014-08-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-17
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
14
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-10-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
7
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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