Colorado Nursing Homes >> Pueblo Nursing Homes >> Pavilion At Villa Pueblo, The

Pavilion At Villa Pueblo, The - Pueblo Nursing Home

General Information

UPDATE
Federal Provider Number
65121
Provider Name
PAVILION AT VILLA PUEBLO, THE
Provider Address
855 HUNTER DRIVE
PUEBLO, CO 81001
Provider Phone Number
7195455911
Provider SSA County
500
Provider County Name
Pueblo
Ownership Type
For profit - Individual
Number of Certified Beds
90
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
1111 BONFORTE OPCO, LLC
Date First Approved to Provide Medicare and Medicaid services
1973-05-30
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.62910
Reported LPN Staffing Hours per Resident per Day
0.98582
Reported RN Staffing Hours per Resident per Day
1.36045
Reported Licensed Staffing Hours per Resident per Day
2.34627
Reported Total Nurse Staffing Hours per Resident per Day
4.97537
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.51248
Expected LPN Staffing Hours per Resident per Day
0.68947
Expected RN Staffing Hours per Resident per Day
1.15876
Expected Total Nurse Staffing Hours per Resident per Day
4.36071
Adjusted CNA Staffing Hours per Resident per Day
2.56759
Adjusted LPN Staffing Hours per Resident per Day
1.18676
Adjusted RN Staffing Hours per Resident per Day
0.87726
Adjusted Total Nurse Staffing Hours per Resident per Day
4.59908
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-09-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
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
84
Cycle 2 Standard Health Survey Date
2013-10-29
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
28
Cycle 3 Number of Standard Health Deficiencies
22
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
220
Cycle 3 Standard Health Survey Date
2012-09-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
220
Total Weighted Health Survey Score
102.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
3575
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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