Canon Lodge Care Center - Canon City Nursing Home
General Information
UPDATEFederal Provider Number
65217
Provider Name
CANON LODGE CARE CENTER
Provider Address
905 HARDING AVENUE
CANON CITY, CO 81212
CANON CITY, CO 81212
Provider Phone Number
7192754106
Provider SSA County
210
Provider County Name
Fremont
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLORADO MEDICAL INVESTORS, LLC
Date First Approved to Provide Medicare and Medicaid services
1985-09-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.15581
Reported LPN Staffing Hours per Resident per Day
0.63837
Reported RN Staffing Hours per Resident per Day
0.94186
Reported Licensed Staffing Hours per Resident per Day
1.58023
Reported Total Nurse Staffing Hours per Resident per Day
3.73604
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11860
Expected CNA Staffing Hours per Resident per Day
2.54370
Expected LPN Staffing Hours per Resident per Day
0.68962
Expected RN Staffing Hours per Resident per Day
1.08302
Expected Total Nurse Staffing Hours per Resident per Day
4.31633
Adjusted CNA Staffing Hours per Resident per Day
2.07954
Adjusted LPN Staffing Hours per Resident per Day
0.76832
Adjusted RN Staffing Hours per Resident per Day
0.64981
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48898
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2015-01-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
25
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
18
Cycle 2 Health Deficiency Score
374
Cycle 2 Standard Health Survey Date
2014-04-15
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-02-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
180.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
20850
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Valley View Health Care Center Inc
2120 North 10th Street |
CANON CITY CO 81212 | 0.1 mile away
Skyline Ridge Nursing And Rehabilitation Center
515 Fairview Street |
CANON CITY CO 81212 | 0.5 mile away
Centura Health Progressive Care Center
1338 Phay Avenue |
CANON CITY CO 81212 | 0.6 mile away
Hildebrand Care Center
1401 Phay Avenue |
CANON CITY CO 81212 | 0.6 mile away
Bruce Mccandless Co State Veterans Nursing Home
0903 Moore Drive |
FLORENCE CO 81226 | 8.9 miles away
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