Colorado Nursing Homes >> Loveland Nursing Homes >> North Shore Health And Rehab Facility

North Shore Health And Rehab Facility - Loveland Nursing Home

General Information

UPDATE
Federal Provider Number
65129
Provider Name
NORTH SHORE HEALTH AND REHAB FACILITY
Provider Address
1365 WEST 29TH STREET
LOVELAND, CO 80538
Provider Phone Number
9706676111
Provider SSA County
340
Provider County Name
Larimer
Ownership Type
For profit - Corporation
Number of Certified Beds
136
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTH SHORE MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1975-07-01
Continuing Care Retirement Community
Y
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
3.19870
Reported LPN Staffing Hours per Resident per Day
0.41565
Reported RN Staffing Hours per Resident per Day
1.35565
Reported Licensed Staffing Hours per Resident per Day
1.77130
Reported Total Nurse Staffing Hours per Resident per Day
4.97000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12522
Expected CNA Staffing Hours per Resident per Day
2.53264
Expected LPN Staffing Hours per Resident per Day
0.62170
Expected RN Staffing Hours per Resident per Day
1.03808
Expected Total Nurse Staffing Hours per Resident per Day
4.19242
Adjusted CNA Staffing Hours per Resident per Day
3.09900
Adjusted LPN Staffing Hours per Resident per Day
0.55491
Adjusted RN Staffing Hours per Resident per Day
0.97578
Adjusted Total Nurse Staffing Hours per Resident per Day
4.77852
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-06-06
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
36
Cycle 3 Standard Health Survey Date
2012-08-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
44.66700
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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