Columbine Manor Care Center - Salida Nursing Home
General Information
UPDATEFederal Provider Number
65220
Provider Name
COLUMBINE MANOR CARE CENTER
Provider Address
530 WEST 16TH STREET
SALIDA, CO 81201
SALIDA, CO 81201
Provider Phone Number
7195396112
Provider SSA County
70
Provider County Name
Chaffee
Ownership Type
For profit - Corporation
Number of Certified Beds
112
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIFE CARE CENTERS OF AMERICA, INC.
Date First Approved to Provide Medicare and Medicaid services
1985-12-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.61750
Reported LPN Staffing Hours per Resident per Day
0.81875
Reported RN Staffing Hours per Resident per Day
0.64250
Reported Licensed Staffing Hours per Resident per Day
1.46125
Reported Total Nurse Staffing Hours per Resident per Day
4.07875
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20750
Expected CNA Staffing Hours per Resident per Day
2.44342
Expected LPN Staffing Hours per Resident per Day
0.66635
Expected RN Staffing Hours per Resident per Day
0.92173
Expected Total Nurse Staffing Hours per Resident per Day
4.03150
Adjusted CNA Staffing Hours per Resident per Day
2.62851
Adjusted LPN Staffing Hours per Resident per Day
1.01982
Adjusted RN Staffing Hours per Resident per Day
0.52084
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07814
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
132
Cycle 1 Standard Survey Health Date
2014-06-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-05-15
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
11
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
92.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
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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