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Pikes Peak Center - Colorado Springs Nursing Home

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Federal Provider Number
06A198
Provider Name
PIKES PEAK CENTER
Provider Address
2719 NORTH UNION BLVD
COLORADO SPRINGS, CO 80909
Provider Phone Number
(719) 636-1676
Provider SSA County
200
Provider County Name
El Paso
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
113
Number of Residents in Certified Beds
84
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
2014-02-25
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
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
2.25000
Reported LPN Staffing Hours per Resident per Day
1.15655
Reported RN Staffing Hours per Resident per Day
0.97738
Reported Licensed Staffing Hours per Resident per Day
2.13393
Reported Total Nurse Staffing Hours per Resident per Day
4.38393
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02024
Expected CNA Staffing Hours per Resident per Day
2.45456
Expected LPN Staffing Hours per Resident per Day
0.66032
Expected RN Staffing Hours per Resident per Day
1.06189
Expected Total Nurse Staffing Hours per Resident per Day
4.17677
Adjusted CNA Staffing Hours per Resident per Day
2.24921
Adjusted LPN Staffing Hours per Resident per Day
1.45375
Adjusted RN Staffing Hours per Resident per Day
0.68774
Adjusted Total Nurse Staffing Hours per Resident per Day
4.23083
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-09-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2014-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
20.66700
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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