Centura Health-medalion Health Center - Colorado Springs Nursing Home

General Information

UPDATE
Federal Provider Number
65113
Provider Name
CENTURA HEALTH-MEDALION HEALTH CENTER
Provider Address
1719 E BIJOU STREET
COLORADO SPRINGS, CO 80909
Provider Phone Number
7193811000
Provider SSA County
200
Provider County Name
El Paso
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CATHOLIC HEALTH INITIATIVES COLORADO
Date First Approved to Provide Medicare and Medicaid services
1970-09-21
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.59902
Reported LPN Staffing Hours per Resident per Day
0.45000
Reported RN Staffing Hours per Resident per Day
1.27843
Reported Licensed Staffing Hours per Resident per Day
1.72843
Reported Total Nurse Staffing Hours per Resident per Day
4.32745
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13333
Expected CNA Staffing Hours per Resident per Day
2.48365
Expected LPN Staffing Hours per Resident per Day
0.62649
Expected RN Staffing Hours per Resident per Day
0.93237
Expected Total Nurse Staffing Hours per Resident per Day
4.04251
Adjusted CNA Staffing Hours per Resident per Day
2.56768
Adjusted LPN Staffing Hours per Resident per Day
0.59618
Adjusted RN Staffing Hours per Resident per Day
1.02453
Adjusted Total Nurse Staffing Hours per Resident per Day
4.31502
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2015-04-01
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
140
Cycle 2 Standard Health Survey Date
2014-06-06
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-06-27
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
20
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
96.66700
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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