College Park Rehabilitation Center - North Las Vegas Nursing Home
General Information
UPDATEFederal Provider Number
295055
Provider Name
COLLEGE PARK REHABILITATION CENTER
Provider Address
2856 E. CHEYENNE AVE.
NORTH LAS VEGAS, NV 89030
NORTH LAS VEGAS, NV 89030
Provider Phone Number
(702) 644-1888
Provider SSA County
10
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THI OF NEVADA AT CHEYENNE, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-09-15
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.68315
Reported LPN Staffing Hours per Resident per Day
0.86576
Reported RN Staffing Hours per Resident per Day
0.83750
Reported Licensed Staffing Hours per Resident per Day
1.70326
Reported Total Nurse Staffing Hours per Resident per Day
3.38641
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13043
Expected CNA Staffing Hours per Resident per Day
2.29093
Expected LPN Staffing Hours per Resident per Day
0.69538
Expected RN Staffing Hours per Resident per Day
1.31468
Expected Total Nurse Staffing Hours per Resident per Day
4.30099
Adjusted CNA Staffing Hours per Resident per Day
1.80274
Adjusted LPN Staffing Hours per Resident per Day
1.03337
Adjusted RN Staffing Hours per Resident per Day
0.47599
Adjusted Total Nurse Staffing Hours per Resident per Day
3.17375
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
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
64
Cycle 2 Standard Health Survey Date
2013-07-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-07-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
70.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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