Little Sisters Of The Poor Mullen Home - Denver Nursing Home
General Information
UPDATEFederal Provider Number
06A088
Provider Name
LITTLE SISTERS OF THE POOR MULLEN HOME
Provider Address
3629 WEST 29TH AVENUE
DENVER, CO 80211
DENVER, CO 80211
Provider Phone Number
3034337221
Provider SSA County
150
Provider County Name
Denver
Ownership Type
Non profit - Other
Number of Certified Beds
44
Number of Residents in Certified Beds
42
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1975-05-01
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
3.84048
Reported LPN Staffing Hours per Resident per Day
0.43333
Reported RN Staffing Hours per Resident per Day
1.48571
Reported Licensed Staffing Hours per Resident per Day
1.91905
Reported Total Nurse Staffing Hours per Resident per Day
5.75952
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07262
Expected CNA Staffing Hours per Resident per Day
2.31033
Expected LPN Staffing Hours per Resident per Day
0.69600
Expected RN Staffing Hours per Resident per Day
0.92918
Expected Total Nurse Staffing Hours per Resident per Day
3.93552
Adjusted CNA Staffing Hours per Resident per Day
4.07880
Adjusted LPN Staffing Hours per Resident per Day
0.51676
Adjusted RN Staffing Hours per Resident per Day
1.19473
Adjusted Total Nurse Staffing Hours per Resident per Day
5.89911
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-08-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-10-22
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
42.66700
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
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