Powell Valley Care Center - Powell Nursing Home

General Information

UPDATE
Federal Provider Number
535045
Provider Name
POWELL VALLEY CARE CENTER
Provider Address
777 AVENUE H
POWELL, WY 82435
Provider Phone Number
3077542267
Provider SSA County
140
Provider County Name
Park
Ownership Type
Government - Hospital district
Number of Certified Beds
100
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1991-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.82222
Reported LPN Staffing Hours per Resident per Day
0.14136
Reported RN Staffing Hours per Resident per Day
1.19938
Reported Licensed Staffing Hours per Resident per Day
1.34074
Reported Total Nurse Staffing Hours per Resident per Day
4.16296
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00185
Expected CNA Staffing Hours per Resident per Day
2.14293
Expected LPN Staffing Hours per Resident per Day
0.58714
Expected RN Staffing Hours per Resident per Day
0.82992
Expected Total Nurse Staffing Hours per Resident per Day
3.55998
Adjusted CNA Staffing Hours per Resident per Day
3.23151
Adjusted LPN Staffing Hours per Resident per Day
0.19983
Adjusted RN Staffing Hours per Resident per Day
1.07983
Adjusted Total Nurse Staffing Hours per Resident per Day
4.71364
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
52
Cycle 1 Total Health Score
156
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
24
Cycle 2 Standard Health Survey Date
2013-02-28
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
16
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-02-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
99.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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

Nursiong Homes Nearby

West Park Long Term Care Center

707 Sheridan Avenue | CODY WY 82414 | 21.8 miles away

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