Poplar Living Center - Casper Nursing Home
General Information
UPDATEFederal Provider Number
535024
Provider Name
POPLAR LIVING CENTER
Provider Address
4305 S POPLAR
CASPER, WY 82601
CASPER, WY 82601
Provider Phone Number
(307) 237-2561
Provider SSA County
120
Provider County Name
Natrona
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
120
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC CASPER OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1984-10-14
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
3
QM Rating Footnote
Staffing Rating
3
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
1.71300
Reported LPN Staffing Hours per Resident per Day
0.21400
Reported RN Staffing Hours per Resident per Day
1.10100
Reported Licensed Staffing Hours per Resident per Day
1.31500
Reported Total Nurse Staffing Hours per Resident per Day
3.02800
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05500
Expected CNA Staffing Hours per Resident per Day
2.30334
Expected LPN Staffing Hours per Resident per Day
0.59480
Expected RN Staffing Hours per Resident per Day
0.92056
Expected Total Nurse Staffing Hours per Resident per Day
3.81870
Adjusted CNA Staffing Hours per Resident per Day
1.82482
Adjusted LPN Staffing Hours per Resident per Day
0.29862
Adjusted RN Staffing Hours per Resident per Day
0.89366
Adjusted Total Nurse Staffing Hours per Resident per Day
3.19626
Cycle 1 Total Number of Health Deficiencies
42
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
28
Cycle 1 Health Deficiency Score
352
Cycle 1 Standard Survey Health Date
2014-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
352
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
250
Cycle 2 Standard Health Survey Date
2012-10-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
250
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2011-09-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
277.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
37
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
2
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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