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Manorcare Health Services - Boulder - Boulder Nursing Home

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Federal Provider Number
65267
Provider Name
MANORCARE HEALTH SERVICES - BOULDER
Provider Address
2800 PALO PARKWAY
BOULDER, CO 80301
Provider Phone Number
(303) 440-9100
Provider SSA County
60
Provider County Name
Boulder
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF BOULDER CO LLC
Date First Approved to Provide Medicare and Medicaid services
1989-11-15
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.42723
Reported LPN Staffing Hours per Resident per Day
0.47500
Reported RN Staffing Hours per Resident per Day
1.19196
Reported Licensed Staffing Hours per Resident per Day
1.66696
Reported Total Nurse Staffing Hours per Resident per Day
4.09419
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18304
Expected CNA Staffing Hours per Resident per Day
2.66744
Expected LPN Staffing Hours per Resident per Day
0.67523
Expected RN Staffing Hours per Resident per Day
1.15494
Expected Total Nurse Staffing Hours per Resident per Day
4.49761
Adjusted CNA Staffing Hours per Resident per Day
2.23274
Adjusted LPN Staffing Hours per Resident per Day
0.58388
Adjusted RN Staffing Hours per Resident per Day
0.77115
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66934
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-07-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-07-31
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
17
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Fines
1
Total Amount of Fines in Dollars
3500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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