Pearl Street Health And Rehabilitation Center - Englewood Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
65208
Provider Name
PEARL STREET HEALTH AND REHABILITATION CENTER
Provider Address
3636 SOUTH PEARL STREET
ENGLEWOOD, CO 80110
ENGLEWOOD, CO 80110
Provider Phone Number
(303) 761-1640
Provider SSA County
20
Provider County Name
Arapahoe
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC ENGLEWOOD OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1985-05-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.82426
Reported LPN Staffing Hours per Resident per Day
0.68897
Reported RN Staffing Hours per Resident per Day
0.71691
Reported Licensed Staffing Hours per Resident per Day
1.40588
Reported Total Nurse Staffing Hours per Resident per Day
3.23014
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03235
Expected CNA Staffing Hours per Resident per Day
2.24711
Expected LPN Staffing Hours per Resident per Day
0.60734
Expected RN Staffing Hours per Resident per Day
0.89587
Expected Total Nurse Staffing Hours per Resident per Day
3.75033
Adjusted CNA Staffing Hours per Resident per Day
1.99197
Adjusted LPN Staffing Hours per Resident per Day
0.94156
Adjusted RN Staffing Hours per Resident per Day
0.59794
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47180
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2015-01-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-02-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2013-04-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
77.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
4306
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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