Bethany Nursing & Rehab Center - Lakewood Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
65248
Provider Name
BETHANY NURSING & REHAB CENTER
Provider Address
5301 WEST FIRST AVENUE
LAKEWOOD, CO 80226
LAKEWOOD, CO 80226
Provider Phone Number
(303) 238-8333
Provider SSA County
290
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
170
Number of Residents in Certified Beds
153
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SAGE LAKEWOOD, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-03-01
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
2
Health Inspection Rating Footnote
QM Rating
5
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
1.81046
Reported LPN Staffing Hours per Resident per Day
0.60915
Reported RN Staffing Hours per Resident per Day
1.19477
Reported Licensed Staffing Hours per Resident per Day
1.80392
Reported Total Nurse Staffing Hours per Resident per Day
3.61438
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06373
Expected CNA Staffing Hours per Resident per Day
2.25030
Expected LPN Staffing Hours per Resident per Day
0.60567
Expected RN Staffing Hours per Resident per Day
0.92802
Expected Total Nurse Staffing Hours per Resident per Day
3.78399
Adjusted CNA Staffing Hours per Resident per Day
1.97410
Adjusted LPN Staffing Hours per Resident per Day
0.83477
Adjusted RN Staffing Hours per Resident per Day
0.96197
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85022
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2015-04-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
128
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2014-06-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-07-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
94.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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