Heritage Care Center - American Fork Nursing Home
General Information
UPDATEFederal Provider Number
465097
Provider Name
HERITAGE CARE CENTER
Provider Address
350 EAST 300 NORTH
AMERICAN FORK, UT 84003
AMERICAN FORK, UT 84003
Provider Phone Number
(801) 756-5293
Provider SSA County
240
Provider County Name
Utah
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMERICAN FORK CARE CENTER,LLC
Date First Approved to Provide Medicare and Medicaid services
1984-08-21
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
3
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
2.63730
Reported LPN Staffing Hours per Resident per Day
0.63571
Reported RN Staffing Hours per Resident per Day
0.87540
Reported Licensed Staffing Hours per Resident per Day
1.51111
Reported Total Nurse Staffing Hours per Resident per Day
4.14841
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09286
Expected CNA Staffing Hours per Resident per Day
2.72734
Expected LPN Staffing Hours per Resident per Day
0.78515
Expected RN Staffing Hours per Resident per Day
1.25628
Expected Total Nurse Staffing Hours per Resident per Day
4.76878
Adjusted CNA Staffing Hours per Resident per Day
2.37269
Adjusted LPN Staffing Hours per Resident per Day
0.67202
Adjusted RN Staffing Hours per Resident per Day
0.52066
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50652
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-03-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-05-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2011-07-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
44.00000
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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