Mesa Manor Center - Grand Junction Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
65110
Provider Name
MESA MANOR CENTER
Provider Address
2901 NORTH 12TH STREET
GRAND JUNCTION, CO 81506
GRAND JUNCTION, CO 81506
Provider Phone Number
(970) 243-7211
Provider SSA County
380
Provider County Name
Mesa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
89
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PEAK MEDICAL COLORADO NO. 2, INC.
Date First Approved to Provide Medicare and Medicaid services
1974-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
1.98365
Reported LPN Staffing Hours per Resident per Day
0.59904
Reported RN Staffing Hours per Resident per Day
1.06346
Reported Licensed Staffing Hours per Resident per Day
1.66250
Reported Total Nurse Staffing Hours per Resident per Day
3.64615
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10962
Expected CNA Staffing Hours per Resident per Day
2.27372
Expected LPN Staffing Hours per Resident per Day
0.61805
Expected RN Staffing Hours per Resident per Day
1.07178
Expected Total Nurse Staffing Hours per Resident per Day
3.96355
Adjusted CNA Staffing Hours per Resident per Day
2.14067
Adjusted LPN Staffing Hours per Resident per Day
0.80447
Adjusted RN Staffing Hours per Resident per Day
0.74140
Adjusted Total Nurse Staffing Hours per Resident per Day
3.70811
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2015-03-27
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
156
Cycle 2 Standard Health Survey Date
2014-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
156
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
96.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
3
Total Amount of Fines in Dollars
2210
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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