Center At Centennial, The - Colorado Springs Nursing Home
General Information
UPDATEFederal Provider Number
65390
Provider Name
CENTER AT CENTENNIAL, THE
Provider Address
3490 CENTENNIAL BOULEVARD
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
Provider Phone Number
(719) 685-8888
Provider SSA County
200
Provider County Name
El Paso
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
80
Number of Residents in Certified Beds
75
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
CENTER AT CENTENNIAL, LLC
Date First Approved to Provide Medicare and Medicaid services
2007-09-26
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
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
3.03600
Reported LPN Staffing Hours per Resident per Day
1.15867
Reported RN Staffing Hours per Resident per Day
2.13600
Reported Licensed Staffing Hours per Resident per Day
3.29467
Reported Total Nurse Staffing Hours per Resident per Day
6.33067
Reported Physical Therapist Staffing Hours per Resident Per Day
0.35800
Expected CNA Staffing Hours per Resident per Day
2.55884
Expected LPN Staffing Hours per Resident per Day
0.75882
Expected RN Staffing Hours per Resident per Day
1.62262
Expected Total Nurse Staffing Hours per Resident per Day
4.94028
Adjusted CNA Staffing Hours per Resident per Day
2.91126
Adjusted LPN Staffing Hours per Resident per Day
1.26736
Adjusted RN Staffing Hours per Resident per Day
0.98361
Adjusted Total Nurse Staffing Hours per Resident per Day
5.16536
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-12-04
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
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-11-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
47.33300
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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