Forest Street Compassionate Care Center - Denver Nursing Home
General Information
UPDATEFederal Provider Number
65387
Provider Name
FOREST STREET COMPASSIONATE CARE CENTER
Provider Address
3345 FOREST STREET
DENVER, CO 80207
DENVER, CO 80207
Provider Phone Number
(303) 393-7600
Provider SSA County
150
Provider County Name
Denver
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
60
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOREST STREET LTC, LLLP
Date First Approved to Provide Medicare and Medicaid services
2006-10-13
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
5
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
2.74630
Reported LPN Staffing Hours per Resident per Day
0.34815
Reported RN Staffing Hours per Resident per Day
1.27222
Reported Licensed Staffing Hours per Resident per Day
1.62037
Reported Total Nurse Staffing Hours per Resident per Day
4.36667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05463
Expected CNA Staffing Hours per Resident per Day
2.29571
Expected LPN Staffing Hours per Resident per Day
0.58807
Expected RN Staffing Hours per Resident per Day
1.02822
Expected Total Nurse Staffing Hours per Resident per Day
3.91200
Adjusted CNA Staffing Hours per Resident per Day
2.93530
Adjusted LPN Staffing Hours per Resident per Day
0.49138
Adjusted RN Staffing Hours per Resident per Day
0.92451
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49939
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-30
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
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-18
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-12-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
23.33300
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
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