Centennial Health Care Center - Greeley Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
65212
Provider Name
CENTENNIAL HEALTH CARE CENTER
Provider Address
1637 29TH AVENUE PLACE
GREELEY, CO 80634
GREELEY, CO 80634
Provider Phone Number
(970) 356-8181
Provider SSA County
610
Provider County Name
Weld
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC GREELEY CENTENNIAL OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1985-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.98370
Reported LPN Staffing Hours per Resident per Day
0.40217
Reported RN Staffing Hours per Resident per Day
0.85326
Reported Licensed Staffing Hours per Resident per Day
1.25543
Reported Total Nurse Staffing Hours per Resident per Day
3.23913
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11793
Expected CNA Staffing Hours per Resident per Day
2.39037
Expected LPN Staffing Hours per Resident per Day
0.62346
Expected RN Staffing Hours per Resident per Day
1.13385
Expected Total Nurse Staffing Hours per Resident per Day
4.14769
Adjusted CNA Staffing Hours per Resident per Day
2.03625
Adjusted LPN Staffing Hours per Resident per Day
0.53540
Adjusted RN Staffing Hours per Resident per Day
0.56229
Adjusted Total Nurse Staffing Hours per Resident per Day
3.14792
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-10-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-09-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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