Longmont United Hospital T C U - Longmont Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
65328
Provider Name
LONGMONT UNITED HOSPITAL T C U
Provider Address
1950 MOUNTAIN VIEW AVENUE
LONGMONT, CO 80501
LONGMONT, CO 80501
Provider Phone Number
(303) 651-5156
Provider SSA County
60
Provider County Name
Boulder
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
15
Number of Residents in Certified Beds
12
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
LONGMONT UNITED HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1994-08-26
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
1.37500
Reported LPN Staffing Hours per Resident per Day
1.34583
Reported RN Staffing Hours per Resident per Day
2.90417
Reported Licensed Staffing Hours per Resident per Day
4.25000
Reported Total Nurse Staffing Hours per Resident per Day
5.62500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.71250
Expected CNA Staffing Hours per Resident per Day
2.65703
Expected LPN Staffing Hours per Resident per Day
1.33695
Expected RN Staffing Hours per Resident per Day
2.05071
Expected Total Nurse Staffing Hours per Resident per Day
6.04470
Adjusted CNA Staffing Hours per Resident per Day
1.26978
Adjusted LPN Staffing Hours per Resident per Day
0.83551
Adjusted RN Staffing Hours per Resident per Day
1.05817
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75103
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-02-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-03-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
22.00000
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
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