Copper Ridge Health Care - West Jordan Nursing Home
General Information
UPDATEFederal Provider Number
465108
Provider Name
COPPER RIDGE HEALTH CARE
Provider Address
3706 WEST 9000 SOUTH
WEST JORDAN, UT 84088
WEST JORDAN, UT 84088
Provider Phone Number
(801) 280-2273
Provider SSA County
170
Provider County Name
Salt Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JORDAN HEALTH ASSOCIATES, INC.
Date First Approved to Provide Medicare and Medicaid services
1987-02-09
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.59767
Reported LPN Staffing Hours per Resident per Day
0.46628
Reported RN Staffing Hours per Resident per Day
1.17442
Reported Licensed Staffing Hours per Resident per Day
1.64070
Reported Total Nurse Staffing Hours per Resident per Day
4.23837
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06163
Expected CNA Staffing Hours per Resident per Day
2.49981
Expected LPN Staffing Hours per Resident per Day
0.70648
Expected RN Staffing Hours per Resident per Day
1.12358
Expected Total Nurse Staffing Hours per Resident per Day
4.32988
Adjusted CNA Staffing Hours per Resident per Day
2.54976
Adjusted LPN Staffing Hours per Resident per Day
0.54780
Adjusted RN Staffing Hours per Resident per Day
0.78101
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94571
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
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
2013-12-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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