Heritage Park Care Center - Roy Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
465003
Provider Name
HERITAGE PARK CARE CENTER
Provider Address
2700 WEST 5600 SOUTH
ROY, UT 84067
ROY, UT 84067
Provider Phone Number
(801) 825-9731
Provider SSA County
280
Provider County Name
Weber
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
176
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRINITY MISSION HEALTH & REHAB OF ROY, LLC
Date First Approved to Provide Medicare and Medicaid services
1978-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.42624
Reported LPN Staffing Hours per Resident per Day
0.60594
Reported RN Staffing Hours per Resident per Day
0.78020
Reported Licensed Staffing Hours per Resident per Day
1.38614
Reported Total Nurse Staffing Hours per Resident per Day
3.81238
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05644
Expected CNA Staffing Hours per Resident per Day
2.47261
Expected LPN Staffing Hours per Resident per Day
0.74143
Expected RN Staffing Hours per Resident per Day
1.30801
Expected Total Nurse Staffing Hours per Resident per Day
4.52205
Adjusted CNA Staffing Hours per Resident per Day
2.40769
Adjusted LPN Staffing Hours per Resident per Day
0.67833
Adjusted RN Staffing Hours per Resident per Day
0.44569
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39831
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
22
Cycle 3 Number of Standard Health Deficiencies
19
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
160
Cycle 3 Standard Health Survey Date
2012-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
160
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
1560
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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