Holly Nursing Care Center - Holly Nursing Home

General Information

UPDATE
Federal Provider Number
65351
Provider Name
HOLLY NURSING CARE CENTER
Provider Address
320 NORTH 8TH STREET
HOLLY, CO 81047
Provider Phone Number
7195376555
Provider SSA County
490
Provider County Name
Prowers
Ownership Type
For profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOLLY NURSING CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-06-01
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
5
Health Inspection Rating Footnote
QM Rating
3
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
2.63625
Reported LPN Staffing Hours per Resident per Day
0.50500
Reported RN Staffing Hours per Resident per Day
0.80375
Reported Licensed Staffing Hours per Resident per Day
1.30875
Reported Total Nurse Staffing Hours per Resident per Day
3.94500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02375
Expected CNA Staffing Hours per Resident per Day
2.35749
Expected LPN Staffing Hours per Resident per Day
0.60768
Expected RN Staffing Hours per Resident per Day
1.02861
Expected Total Nurse Staffing Hours per Resident per Day
3.99379
Adjusted CNA Staffing Hours per Resident per Day
2.74383
Adjusted LPN Staffing Hours per Resident per Day
0.68975
Adjusted RN Staffing Hours per Resident per Day
0.58386
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98166
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-07-10
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
14.00000
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

Nursiong Homes Nearby

Lamar Estates Llc

205 South 10th St | LAMAR CO 81052 | 27.3 miles away

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