Pine View Transitional Rehab - Ogden Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
465155
Provider Name
PINE VIEW TRANSITIONAL REHAB
Provider Address
1497 EAST SKYLINE DRIVE
OGDEN, UT 84405
OGDEN, UT 84405
Provider Phone Number
(801) 689-1600
Provider SSA County
280
Provider County Name
Weber
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
29
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
AHC OGDEN LLC
Date First Approved to Provide Medicare and Medicaid services
2004-03-08
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
3.68966
Reported LPN Staffing Hours per Resident per Day
0.76207
Reported RN Staffing Hours per Resident per Day
2.14138
Reported Licensed Staffing Hours per Resident per Day
2.90345
Reported Total Nurse Staffing Hours per Resident per Day
6.59311
Reported Physical Therapist Staffing Hours per Resident Per Day
0.57069
Expected CNA Staffing Hours per Resident per Day
2.32531
Expected LPN Staffing Hours per Resident per Day
0.84152
Expected RN Staffing Hours per Resident per Day
1.81020
Expected Total Nurse Staffing Hours per Resident per Day
4.97702
Adjusted CNA Staffing Hours per Resident per Day
3.89338
Adjusted LPN Staffing Hours per Resident per Day
0.75164
Adjusted RN Staffing Hours per Resident per Day
0.88390
Adjusted Total Nurse Staffing Hours per Resident per Day
5.33977
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
2014-04-15
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-04-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
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
56
Cycle 3 Standard Health Survey Date
2011-06-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
17.33300
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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