Meadowbrook Rehabilitation And Nursing - Salt Lake City Nursing Home
General Information
UPDATEFederal Provider Number
465158
Provider Name
MEADOWBROOK REHABILITATION AND NURSING
Provider Address
433 EAST 2700 SOUTH
SALT LAKE CITY, UT 84115
SALT LAKE CITY, UT 84115
Provider Phone Number
(801) 487-2248
Provider SSA County
170
Provider County Name
Salt Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
41
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEADOW BROOK REHABILITATION AND NURSING
Date First Approved to Provide Medicare and Medicaid services
2004-05-17
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
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.13750
Reported LPN Staffing Hours per Resident per Day
0.22083
Reported RN Staffing Hours per Resident per Day
0.88056
Reported Licensed Staffing Hours per Resident per Day
1.10139
Reported Total Nurse Staffing Hours per Resident per Day
3.23889
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01250
Expected CNA Staffing Hours per Resident per Day
2.06902
Expected LPN Staffing Hours per Resident per Day
0.60907
Expected RN Staffing Hours per Resident per Day
0.93753
Expected Total Nurse Staffing Hours per Resident per Day
3.61561
Adjusted CNA Staffing Hours per Resident per Day
2.53491
Adjusted LPN Staffing Hours per Resident per Day
0.30093
Adjusted RN Staffing Hours per Resident per Day
0.70180
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61091
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-04-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
32
Cycle 2 Standard Health Survey Date
2013-06-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2011-12-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
2385
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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