Hildebrand Care Center - Canon City Nursing Home

General Information

UPDATE
Federal Provider Number
65179
Provider Name
HILDEBRAND CARE CENTER
Provider Address
1401 PHAY AVENUE
CANON CITY, CO 81212
Provider Phone Number
7192758656
Provider SSA County
210
Provider County Name
Fremont
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHADOW MOUNTAIN MANAGEMENT
Date First Approved to Provide Medicare and Medicaid services
1983-10-18
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
3.16197
Reported LPN Staffing Hours per Resident per Day
0.81268
Reported RN Staffing Hours per Resident per Day
0.87958
Reported Licensed Staffing Hours per Resident per Day
1.69225
Reported Total Nurse Staffing Hours per Resident per Day
4.85423
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.24681
Expected LPN Staffing Hours per Resident per Day
0.61130
Expected RN Staffing Hours per Resident per Day
0.96796
Expected Total Nurse Staffing Hours per Resident per Day
3.82606
Adjusted CNA Staffing Hours per Resident per Day
3.45313
Adjusted LPN Staffing Hours per Resident per Day
1.10343
Adjusted RN Staffing Hours per Resident per Day
0.67898
Adjusted Total Nurse Staffing Hours per Resident per Day
5.11411
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-05-13
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
44
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-04-08
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
17
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
119.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
1950
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01

Nursiong Homes Nearby

Centura Health Progressive Care Center

1338 Phay Avenue | CANON CITY CO 81212 | 0.1 mile away

Valley View Health Care Center Inc

2120 North 10th Street | CANON CITY CO 81212 | 0.5 mile away

Canon Lodge Care Center

905 Harding Avenue | CANON CITY CO 81212 | 0.6 mile away

Skyline Ridge Nursing And Rehabilitation Center

515 Fairview Street | CANON CITY CO 81212 | 0.8 mile away

Bruce Mccandless Co State Veterans Nursing Home

0903 Moore Drive | FLORENCE CO 81226 | 8.3 miles away

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