Colorado Nursing Homes >> Arvada Nursing Homes >> Exempla Colorado Lutheran Home

Exempla Colorado Lutheran Home - Arvada Nursing Home

General Information

UPDATE
Federal Provider Number
65330
Provider Name
EXEMPLA COLORADO LUTHERAN HOME
Provider Address
7991 WEST 71ST AVENUE
ARVADA, CO 80004
Provider Phone Number
3034033100
Provider SSA County
290
Provider County Name
Jefferson
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SCL HEALTH FRONT RANGE INC
Date First Approved to Provide Medicare and Medicaid services
1994-09-26
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
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
2.98596
Reported LPN Staffing Hours per Resident per Day
0.69035
Reported RN Staffing Hours per Resident per Day
0.61754
Reported Licensed Staffing Hours per Resident per Day
1.30789
Reported Total Nurse Staffing Hours per Resident per Day
4.29385
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06711
Expected CNA Staffing Hours per Resident per Day
2.54904
Expected LPN Staffing Hours per Resident per Day
0.59035
Expected RN Staffing Hours per Resident per Day
0.81535
Expected Total Nurse Staffing Hours per Resident per Day
3.95474
Adjusted CNA Staffing Hours per Resident per Day
2.87428
Adjusted LPN Staffing Hours per Resident per Day
0.97060
Adjusted RN Staffing Hours per Resident per Day
0.56592
Adjusted Total Nurse Staffing Hours per Resident per Day
4.37654
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-06-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-04-11
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-03-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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