George E Wahlen Ogden Veterans Home - Ogden Nursing Home
General Information
UPDATEFederal Provider Number
465172
Provider Name
GEORGE E WAHLEN OGDEN VETERANS HOME
Provider Address
1102 NORTH 1200 WEST
OGDEN, UT 84404
OGDEN, UT 84404
Provider Phone Number
8013344300
Provider SSA County
280
Provider County Name
Weber
Ownership Type
For profit - Individual
Number of Certified Beds
120
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVALON CARE CENTER - VA OGDEN, LLC
Date First Approved to Provide Medicare and Medicaid services
2010-02-03
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
2.88584
Reported LPN Staffing Hours per Resident per Day
0.49646
Reported RN Staffing Hours per Resident per Day
1.17124
Reported Licensed Staffing Hours per Resident per Day
1.66770
Reported Total Nurse Staffing Hours per Resident per Day
4.55354
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10133
Expected CNA Staffing Hours per Resident per Day
2.63991
Expected LPN Staffing Hours per Resident per Day
0.65967
Expected RN Staffing Hours per Resident per Day
0.98066
Expected Total Nurse Staffing Hours per Resident per Day
4.28025
Adjusted CNA Staffing Hours per Resident per Day
2.68228
Adjusted LPN Staffing Hours per Resident per Day
0.62464
Adjusted RN Staffing Hours per Resident per Day
0.89241
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28827
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
24
Cycle 2 Standard Health Survey Date
2013-06-17
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
24
Cycle 3 Standard Health Survey Date
2011-11-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
12.00000
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
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Mountain View Health Services
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