Draper Rehabilitation And Care Center - Draper Nursing Home
General Information
UPDATEFederal Provider Number
465091
Provider Name
DRAPER REHABILITATION AND CARE CENTER
Provider Address
12702 SOUTH FORT STREET
DRAPER, UT 84020
DRAPER, UT 84020
Provider Phone Number
(801) 571-2704
Provider SSA County
170
Provider County Name
Salt Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
93
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTH VALLEY HEALTHCARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1983-09-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.33273
Reported LPN Staffing Hours per Resident per Day
0.30636
Reported RN Staffing Hours per Resident per Day
1.15545
Reported Licensed Staffing Hours per Resident per Day
1.46182
Reported Total Nurse Staffing Hours per Resident per Day
3.79454
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16727
Expected CNA Staffing Hours per Resident per Day
2.73169
Expected LPN Staffing Hours per Resident per Day
0.77570
Expected RN Staffing Hours per Resident per Day
1.35288
Expected Total Nurse Staffing Hours per Resident per Day
4.86026
Adjusted CNA Staffing Hours per Resident per Day
2.09534
Adjusted LPN Staffing Hours per Resident per Day
0.32781
Adjusted RN Staffing Hours per Resident per Day
0.63816
Adjusted Total Nurse Staffing Hours per Resident per Day
3.14703
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-03-05
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-04-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
1500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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