Utah Nursing Homes >> Bountiful Nursing Homes >> North Canyon Care Center

North Canyon Care Center - Bountiful Nursing Home

General Information

UPDATE
Federal Provider Number
465163
Provider Name
NORTH CANYON CARE CENTER
Provider Address
350 SOUTH 400 EAST
BOUNTIFUL, UT 84010
Provider Phone Number
8013974700
Provider SSA County
50
Provider County Name
Davis
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVALON CARE CENTER BOUNTIFUL 350 SOUTH LLC
Date First Approved to Provide Medicare and Medicaid services
2006-11-16
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.15472
Reported LPN Staffing Hours per Resident per Day
0.21698
Reported RN Staffing Hours per Resident per Day
1.12830
Reported Licensed Staffing Hours per Resident per Day
1.34528
Reported Total Nurse Staffing Hours per Resident per Day
3.50000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09340
Expected CNA Staffing Hours per Resident per Day
2.64868
Expected LPN Staffing Hours per Resident per Day
0.67843
Expected RN Staffing Hours per Resident per Day
1.02757
Expected Total Nurse Staffing Hours per Resident per Day
4.35468
Adjusted CNA Staffing Hours per Resident per Day
1.99611
Adjusted LPN Staffing Hours per Resident per Day
0.26546
Adjusted RN Staffing Hours per Resident per Day
0.82044
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23977
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
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
20
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
2013-12-17
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
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
48
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
1625
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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