Mission At Community Living Rehabilitation Center - Centerfield Nursing Home

General Information

UPDATE
Federal Provider Number
465175
Provider Name
MISSION AT COMMUNITY LIVING REHABILITATION CENTER
Provider Address
10 WEST 400 SOUTH
CENTERFIELD, UT 84622
Provider Phone Number
4355282800
Provider SSA County
190
Provider County Name
Sanpete
Ownership Type
Government - City/county
Number of Certified Beds
46
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GUNNISON VALLEY HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
2010-12-20
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.46154
Reported LPN Staffing Hours per Resident per Day
1.09615
Reported RN Staffing Hours per Resident per Day
0.53590
Reported Licensed Staffing Hours per Resident per Day
1.63205
Reported Total Nurse Staffing Hours per Resident per Day
4.09359
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.27320
Expected LPN Staffing Hours per Resident per Day
0.63076
Expected RN Staffing Hours per Resident per Day
0.97616
Expected Total Nurse Staffing Hours per Resident per Day
3.88012
Adjusted CNA Staffing Hours per Resident per Day
2.65699
Adjusted LPN Staffing Hours per Resident per Day
1.44239
Adjusted RN Staffing Hours per Resident per Day
0.41020
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25266
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
48
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
60.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
4225
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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