Colorado Nursing Homes >> Westminster Nursing Homes >> Park Forest Care Center, Inc.

Park Forest Care Center, Inc. - Westminster Nursing Home

General Information

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Federal Provider Number
06A172
Provider Name
PARK FOREST CARE CENTER, INC.
Provider Address
7045 STUART STREET
WESTMINSTER, CO 80030
Provider Phone Number
(303) 427-7045
Provider SSA County
0
Provider County Name
Adams
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
103
Number of Residents in Certified Beds
92
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1991-03-01
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
3
Health Inspection Rating Footnote
QM Rating
4
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
1.92174
Reported LPN Staffing Hours per Resident per Day
1.12446
Reported RN Staffing Hours per Resident per Day
0.46522
Reported Licensed Staffing Hours per Resident per Day
1.58967
Reported Total Nurse Staffing Hours per Resident per Day
3.51142
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
1.82485
Expected LPN Staffing Hours per Resident per Day
0.56198
Expected RN Staffing Hours per Resident per Day
0.79633
Expected Total Nurse Staffing Hours per Resident per Day
3.18316
Adjusted CNA Staffing Hours per Resident per Day
2.58398
Adjusted LPN Staffing Hours per Resident per Day
1.66075
Adjusted RN Staffing Hours per Resident per Day
0.43652
Adjusted Total Nurse Staffing Hours per Resident per Day
4.44658
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-07-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
54.00000
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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