Mission At Castle Rock Rehabilitation Center - Green River Nursing Home
General Information
UPDATEFederal Provider Number
535033
Provider Name
MISSION AT CASTLE ROCK REHABILITATION CENTER
Provider Address
1445 UINTA DRIVE
GREEN RIVER, WY 82935
GREEN RIVER, WY 82935
Provider Phone Number
(307) 872-4600
Provider SSA County
180
Provider County Name
Sweetwater
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
59
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MISSION HEALTH SERVICES
Date First Approved to Provide Medicare and Medicaid services
1989-01-03
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
4
Health Inspection Rating Footnote
QM Rating
1
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
2.46100
Reported LPN Staffing Hours per Resident per Day
0.36600
Reported RN Staffing Hours per Resident per Day
1.14000
Reported Licensed Staffing Hours per Resident per Day
1.50600
Reported Total Nurse Staffing Hours per Resident per Day
3.96700
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00900
Expected CNA Staffing Hours per Resident per Day
2.08113
Expected LPN Staffing Hours per Resident per Day
0.61949
Expected RN Staffing Hours per Resident per Day
1.02484
Expected Total Nurse Staffing Hours per Resident per Day
3.72545
Adjusted CNA Staffing Hours per Resident per Day
2.90158
Adjusted LPN Staffing Hours per Resident per Day
0.49037
Adjusted RN Staffing Hours per Resident per Day
0.83116
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29225
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
8
Cycle 2 Standard Health Survey Date
2013-10-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
19.33300
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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