Liberty Heights - Colorado Springs Nursing Home
General Information
UPDATEFederal Provider Number
65305
Provider Name
LIBERTY HEIGHTS
Provider Address
12205 GUNSTOCK DRIVE
COLORADO SPRINGS, CO 80921
COLORADO SPRINGS, CO 80921
Provider Phone Number
(719) 481-5007
Provider SSA County
200
Provider County Name
El Paso
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
42
Number of Residents in Certified Beds
41
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1992-10-15
Continuing Care Retirement Community
Y
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
4
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
2.03415
Reported LPN Staffing Hours per Resident per Day
0.31829
Reported RN Staffing Hours per Resident per Day
1.77805
Reported Licensed Staffing Hours per Resident per Day
2.09634
Reported Total Nurse Staffing Hours per Resident per Day
4.13049
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15488
Expected CNA Staffing Hours per Resident per Day
2.13969
Expected LPN Staffing Hours per Resident per Day
0.70018
Expected RN Staffing Hours per Resident per Day
1.37702
Expected Total Nurse Staffing Hours per Resident per Day
4.21689
Adjusted CNA Staffing Hours per Resident per Day
2.33267
Adjusted LPN Staffing Hours per Resident per Day
0.37730
Adjusted RN Staffing Hours per Resident per Day
0.96481
Adjusted Total Nurse Staffing Hours per Resident per Day
3.94831
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-04-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
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
60
Cycle 2 Standard Health Survey Date
2013-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
57.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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