Parkmoor Village Healthcare Center - Colorado Springs Nursing Home
General Information
UPDATEFederal Provider Number
65252
Provider Name
PARKMOOR VILLAGE HEALTHCARE CENTER
Provider Address
3625 PARKMOOR VILLAGE DRIVE
COLORADO SPRINGS, CO 80917
COLORADO SPRINGS, CO 80917
Provider Phone Number
(719) 550-0200
Provider SSA County
200
Provider County Name
El Paso
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
147
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
INTEGRATED HEALTH SERVICES AT COLORADO SPRINGS INC
Date First Approved to Provide Medicare and Medicaid services
1989-03-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.50652
Reported LPN Staffing Hours per Resident per Day
0.63696
Reported RN Staffing Hours per Resident per Day
0.85391
Reported Licensed Staffing Hours per Resident per Day
1.49087
Reported Total Nurse Staffing Hours per Resident per Day
3.99739
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11000
Expected CNA Staffing Hours per Resident per Day
2.38369
Expected LPN Staffing Hours per Resident per Day
0.65081
Expected RN Staffing Hours per Resident per Day
1.03809
Expected Total Nurse Staffing Hours per Resident per Day
4.07259
Adjusted CNA Staffing Hours per Resident per Day
2.58014
Adjusted LPN Staffing Hours per Resident per Day
0.81233
Adjusted RN Staffing Hours per Resident per Day
0.61463
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95647
Cycle 1 Total Number of Health Deficiencies
24
Cycle 1 Number of Standard Health Deficiencies
24
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
224
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
224
Cycle 2 Total Number of Health Deficiencies
23
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
22
Cycle 2 Health Deficiency Score
156
Cycle 2 Standard Health Survey Date
2013-10-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
156
Cycle 3 Total Number of Health Deficiencies
33
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
28
Cycle 3 Health Deficiency Score
228
Cycle 3 Standard Health Survey Date
2013-03-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
228
Total Weighted Health Survey Score
202.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
39
Number of Fines
1
Total Amount of Fines in Dollars
11440
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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