Powerback Rehabilitation Lakewood - Lakewood Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
65400
Provider Name
POWERBACK REHABILITATION LAKEWOOD
Provider Address
7395 WEST EASTMAN PLACE
LAKEWOOD, CO 80227
LAKEWOOD, CO 80227
Provider Phone Number
(720) 388-1042
Provider SSA County
150
Provider County Name
Denver
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
107
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
7395 W. EASTMAN PLACE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
2010-07-16
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
2.26589
Reported LPN Staffing Hours per Resident per Day
0.67430
Reported RN Staffing Hours per Resident per Day
1.36776
Reported Licensed Staffing Hours per Resident per Day
2.04206
Reported Total Nurse Staffing Hours per Resident per Day
4.30795
Reported Physical Therapist Staffing Hours per Resident Per Day
0.29206
Expected CNA Staffing Hours per Resident per Day
2.35528
Expected LPN Staffing Hours per Resident per Day
0.75604
Expected RN Staffing Hours per Resident per Day
1.69016
Expected Total Nurse Staffing Hours per Resident per Day
4.80148
Adjusted CNA Staffing Hours per Resident per Day
2.36058
Adjusted LPN Staffing Hours per Resident per Day
0.74026
Adjusted RN Staffing Hours per Resident per Day
0.60467
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61657
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-05-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-04-22
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
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
56.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
13
Number of Fines
1
Total Amount of Fines in Dollars
1950
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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