Rehabilitation Center At Sandalwood,the - Wheat Ridge Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
65292
Provider Name
REHABILITATION CENTER AT SANDALWOOD,THE
Provider Address
3835 HARLAN STREET
WHEAT RIDGE, CO 80033
WHEAT RIDGE, CO 80033
Provider Phone Number
(303) 422-1533
Provider SSA County
290
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SANDALWOOD MANOR, INC
Date First Approved to Provide Medicare and Medicaid services
1990-09-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Family
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
4
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
2.94518
Reported LPN Staffing Hours per Resident per Day
0.77470
Reported RN Staffing Hours per Resident per Day
1.00120
Reported Licensed Staffing Hours per Resident per Day
1.77590
Reported Total Nurse Staffing Hours per Resident per Day
4.72108
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06867
Expected CNA Staffing Hours per Resident per Day
2.29579
Expected LPN Staffing Hours per Resident per Day
0.61225
Expected RN Staffing Hours per Resident per Day
1.07111
Expected Total Nurse Staffing Hours per Resident per Day
3.97915
Adjusted CNA Staffing Hours per Resident per Day
3.14775
Adjusted LPN Staffing Hours per Resident per Day
1.05023
Adjusted RN Staffing Hours per Resident per Day
0.69843
Adjusted Total Nurse Staffing Hours per Resident per Day
4.78248
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-02-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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