Life Care Center Of Pueblo - Pueblo Nursing Home

General Information

UPDATE
Federal Provider Number
65269
Provider Name
LIFE CARE CENTER OF PUEBLO
Provider Address
2118 CHATALET LANE
PUEBLO, CO 81005
Provider Phone Number
7195642000
Provider SSA County
500
Provider County Name
Pueblo
Ownership Type
For profit - Corporation
Number of Certified Beds
187
Number of Residents in Certified Beds
146
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTH PUEBLO MEDICAL INVESTORS, LTD.
Date First Approved to Provide Medicare and Medicaid services
1989-11-21
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.07979
Reported LPN Staffing Hours per Resident per Day
0.58767
Reported RN Staffing Hours per Resident per Day
0.91301
Reported Licensed Staffing Hours per Resident per Day
1.50068
Reported Total Nurse Staffing Hours per Resident per Day
3.58047
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16747
Expected CNA Staffing Hours per Resident per Day
2.61843
Expected LPN Staffing Hours per Resident per Day
0.65819
Expected RN Staffing Hours per Resident per Day
1.06957
Expected Total Nurse Staffing Hours per Resident per Day
4.34620
Adjusted CNA Staffing Hours per Resident per Day
1.94895
Adjusted LPN Staffing Hours per Resident per Day
0.74107
Adjusted RN Staffing Hours per Resident per Day
0.63783
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32072
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2015-04-15
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
140
Cycle 2 Standard Health Survey Date
2014-03-25
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
13
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2013-05-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
114.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
24875
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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Sharmar Village Care Center

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Parkview Medical Ctr Skilled Nursing Facility Ecf

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Pavilion At Villa Pueblo, The

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Belmont Lodge Health Care Center

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University Park Care Center

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