Centre Avenue Health And Rehabilitation Facility - Fort Collins Nursing Home

General Information

UPDATE
Federal Provider Number
65377
Provider Name
CENTRE AVENUE HEALTH AND REHABILITATION FACILITY
Provider Address
815 CENTRE AVENUE
FORT COLLINS, CO 80526
Provider Phone Number
9704942140
Provider SSA County
340
Provider County Name
Larimer
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
81
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
CENTRE AVENUE HEALTH AND REHAB FACILITY, LLC
Date First Approved to Provide Medicare and Medicaid services
2001-10-10
Continuing Care Retirement Community
Y
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
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
2.20556
Reported LPN Staffing Hours per Resident per Day
0.49012
Reported RN Staffing Hours per Resident per Day
1.94383
Reported Licensed Staffing Hours per Resident per Day
2.43395
Reported Total Nurse Staffing Hours per Resident per Day
4.63951
Reported Physical Therapist Staffing Hours per Resident Per Day
0.50185
Expected CNA Staffing Hours per Resident per Day
2.39147
Expected LPN Staffing Hours per Resident per Day
0.74846
Expected RN Staffing Hours per Resident per Day
1.59273
Expected Total Nurse Staffing Hours per Resident per Day
4.73266
Adjusted CNA Staffing Hours per Resident per Day
2.26295
Adjusted LPN Staffing Hours per Resident per Day
0.54352
Adjusted RN Staffing Hours per Resident per Day
0.91191
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95156
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-01-14
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
28
Cycle 2 Standard Health Survey Date
2014-01-31
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
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
40.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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North Shore Health And Rehab Facility

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Sierra Vista Health Care Center

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Green House Homes At Mirasol, The

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Good Samaritan Society - Loveland Village

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