Canyonlands Care Center - Moab Nursing Home
General Information
UPDATEFederal Provider Number
46A070
Provider Name
CANYONLANDS CARE CENTER
Provider Address
390 WEST WILLIAMS WAY
MOAB, UT 84532
MOAB, UT 84532
Provider Phone Number
4357194400
Provider SSA County
90
Provider County Name
Grand
Ownership Type
Government - Hospital district
Number of Certified Beds
36
Number of Residents in Certified Beds
36
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2011-02-03
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
1.11111
Reported LPN Staffing Hours per Resident per Day
0.14306
Reported RN Staffing Hours per Resident per Day
1.52361
Reported Licensed Staffing Hours per Resident per Day
1.66667
Reported Total Nurse Staffing Hours per Resident per Day
2.77778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01944
Expected CNA Staffing Hours per Resident per Day
2.28443
Expected LPN Staffing Hours per Resident per Day
0.67544
Expected RN Staffing Hours per Resident per Day
0.95239
Expected Total Nurse Staffing Hours per Resident per Day
3.91226
Adjusted CNA Staffing Hours per Resident per Day
1.19344
Adjusted LPN Staffing Hours per Resident per Day
0.17580
Adjusted RN Staffing Hours per Resident per Day
1.19535
Adjusted Total Nurse Staffing Hours per Resident per Day
2.86202
Cycle 1 Total Number of Health Deficiencies
23
Cycle 1 Number of Standard Health Deficiencies
23
Cycle 1 Number of Complaint Health Deficiencies
22
Cycle 1 Health Deficiency Score
282
Cycle 1 Standard Survey Health Date
2014-05-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
282
Cycle 2 Total Number of Health Deficiencies
25
Cycle 2 Number of Standard Health Deficiencies
25
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
152
Cycle 2 Standard Health Survey Date
2013-03-21
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-02-03
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
191.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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