Pueblo Center - Pueblo Nursing Home

General Information

UPDATE
Federal Provider Number
65232
Provider Name
PUEBLO CENTER
Provider Address
2611 JONES AVENUE
PUEBLO, CO 81004
Provider Phone Number
7195641735
Provider SSA County
500
Provider County Name
Pueblo
Ownership Type
For profit - Corporation
Number of Certified Beds
146
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PEAK MEDICAL COLORADO NO. 2, INC.
Date First Approved to Provide Medicare and Medicaid services
1986-04-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.18150
Reported LPN Staffing Hours per Resident per Day
0.82900
Reported RN Staffing Hours per Resident per Day
0.78700
Reported Licensed Staffing Hours per Resident per Day
1.61600
Reported Total Nurse Staffing Hours per Resident per Day
3.79750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11250
Expected CNA Staffing Hours per Resident per Day
2.42863
Expected LPN Staffing Hours per Resident per Day
0.70990
Expected RN Staffing Hours per Resident per Day
1.25633
Expected Total Nurse Staffing Hours per Resident per Day
4.39486
Adjusted CNA Staffing Hours per Resident per Day
2.20402
Adjusted LPN Staffing Hours per Resident per Day
0.96925
Adjusted RN Staffing Hours per Resident per Day
0.46807
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48301
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-11-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2014-01-23
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
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-02-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
80.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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Pavilion At Villa Pueblo, The

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Belmont Lodge Health Care Center

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