Mt Olympus Rehabilitation Center - Salt Lake City Nursing Home

General Information

UPDATE
Federal Provider Number
465006
Provider Name
MT OLYMPUS REHABILITATION CENTER
Provider Address
2200 EAST 3300 SOUTH
SALT LAKE CITY, UT 84109
Provider Phone Number
(801) 486-2096
Provider SSA County
170
Provider County Name
Salt Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
107
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1977-10-01
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
4
QM Rating Footnote
Staffing Rating
2
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
1.87372
Reported LPN Staffing Hours per Resident per Day
0.30064
Reported RN Staffing Hours per Resident per Day
1.21538
Reported Licensed Staffing Hours per Resident per Day
1.51603
Reported Total Nurse Staffing Hours per Resident per Day
3.38974
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09808
Expected CNA Staffing Hours per Resident per Day
2.36629
Expected LPN Staffing Hours per Resident per Day
0.72436
Expected RN Staffing Hours per Resident per Day
1.31781
Expected Total Nurse Staffing Hours per Resident per Day
4.40847
Adjusted CNA Staffing Hours per Resident per Day
1.94294
Adjusted LPN Staffing Hours per Resident per Day
0.34448
Adjusted RN Staffing Hours per Resident per Day
0.68912
Adjusted Total Nurse Staffing Hours per Resident per Day
3.09942
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
2014-11-06
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-04-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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