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Mapleton Care Center - Lakewood Nursing Home

General Information

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Federal Provider Number
65097
Provider Name
MAPLETON CARE CENTER
Provider Address
115 INGALLS STREET
LAKEWOOD, CO 80226
Provider Phone Number
(303) 237-1325
Provider SSA County
290
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
90
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MILE HIGH CARE SERVICES LLC
Date First Approved to Provide Medicare and Medicaid services
1968-04-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.49000
Reported LPN Staffing Hours per Resident per Day
0.65357
Reported RN Staffing Hours per Resident per Day
0.85714
Reported Licensed Staffing Hours per Resident per Day
1.51071
Reported Total Nurse Staffing Hours per Resident per Day
4.00071
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.33532
Expected LPN Staffing Hours per Resident per Day
0.55716
Expected RN Staffing Hours per Resident per Day
0.82154
Expected Total Nurse Staffing Hours per Resident per Day
3.71402
Adjusted CNA Staffing Hours per Resident per Day
2.61622
Adjusted LPN Staffing Hours per Resident per Day
0.97363
Adjusted RN Staffing Hours per Resident per Day
0.77957
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34205
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-12-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
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
24
Cycle 2 Standard Health Survey Date
2014-03-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-03-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
40.66700
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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