Holladay Healthcare Center - Salt Lake City Nursing Home
General Information
UPDATEFederal Provider Number
465109
Provider Name
HOLLADAY HEALTHCARE CENTER
Provider Address
4782 SOUTH HOLLADAY BOULEVARD
SALT LAKE CITY, UT 84117
SALT LAKE CITY, UT 84117
Provider Phone Number
(801) 277-7002
Provider SSA County
170
Provider County Name
Salt Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OLYMPUS HEALTH, INC.
Date First Approved to Provide Medicare and Medicaid services
1987-02-13
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.61687
Reported LPN Staffing Hours per Resident per Day
0.16807
Reported RN Staffing Hours per Resident per Day
1.42108
Reported Licensed Staffing Hours per Resident per Day
1.58916
Reported Total Nurse Staffing Hours per Resident per Day
4.20602
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15723
Expected CNA Staffing Hours per Resident per Day
2.70457
Expected LPN Staffing Hours per Resident per Day
0.67055
Expected RN Staffing Hours per Resident per Day
1.09079
Expected Total Nurse Staffing Hours per Resident per Day
4.46590
Adjusted CNA Staffing Hours per Resident per Day
2.37414
Adjusted LPN Staffing Hours per Resident per Day
0.20803
Adjusted RN Staffing Hours per Resident per Day
0.97345
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79633
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
2015-02-05
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-12-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-11-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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