Manor Care Health Services - South Ogden - Ogden Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
465117
Provider Name
MANOR CARE HEALTH SERVICES - SOUTH OGDEN
Provider Address
5540 SOUTH 1050 EAST
OGDEN, UT 84405
OGDEN, UT 84405
Provider Phone Number
(801) 479-8455
Provider SSA County
280
Provider County Name
Weber
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF SOUTH OGDEN UT LLC
Date First Approved to Provide Medicare and Medicaid services
1987-12-16
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
5
QM Rating Footnote
Staffing Rating
3
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
2.33722
Reported LPN Staffing Hours per Resident per Day
0.22722
Reported RN Staffing Hours per Resident per Day
1.18778
Reported Licensed Staffing Hours per Resident per Day
1.41500
Reported Total Nurse Staffing Hours per Resident per Day
3.75222
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17556
Expected CNA Staffing Hours per Resident per Day
2.66043
Expected LPN Staffing Hours per Resident per Day
0.65984
Expected RN Staffing Hours per Resident per Day
1.05473
Expected Total Nurse Staffing Hours per Resident per Day
4.37500
Adjusted CNA Staffing Hours per Resident per Day
2.15560
Adjusted LPN Staffing Hours per Resident per Day
0.28582
Adjusted RN Staffing Hours per Resident per Day
0.84146
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45710
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
32
Cycle 1 Standard Survey Health Date
2014-06-12
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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