Evergreen Nursing Home - Alamosa Nursing Home

General Information

UPDATE
Federal Provider Number
65234
Provider Name
EVERGREEN NURSING HOME
Provider Address
1991 CARROLL AVE
ALAMOSA, CO 81101
Provider Phone Number
7195894951
Provider SSA County
10
Provider County Name
Alamosa
Ownership Type
For profit - Partnership
Number of Certified Beds
60
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLORADO MEDICAL INVESTORS, LLC
Date First Approved to Provide Medicare and Medicaid services
1987-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.65250
Reported LPN Staffing Hours per Resident per Day
0.62000
Reported RN Staffing Hours per Resident per Day
0.86250
Reported Licensed Staffing Hours per Resident per Day
1.48250
Reported Total Nurse Staffing Hours per Resident per Day
4.13500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05500
Expected CNA Staffing Hours per Resident per Day
2.56607
Expected LPN Staffing Hours per Resident per Day
0.61979
Expected RN Staffing Hours per Resident per Day
0.90519
Expected Total Nurse Staffing Hours per Resident per Day
4.09106
Adjusted CNA Staffing Hours per Resident per Day
2.53634
Adjusted LPN Staffing Hours per Resident per Day
0.83028
Adjusted RN Staffing Hours per Resident per Day
0.71196
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07419
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-05-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
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
32
Cycle 2 Standard Health Survey Date
2013-06-18
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
36.00000
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

Nursiong Homes Nearby

San Luis Care Center

240 Craft Drive | ALAMOSA CO 81101 | 0.5 mile away

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